A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?

Lorazepam

Atenolol

Phenytoin

Levetiracetam

Answer and Explanation

The Correct Answer is A

A.   Lorazepam is a benzodiazepine used as the first-line treatment for status epilepticus. It rapidly terminates seizures.
B.   A beta-blocker, atenolol is used for conditions like hypertension and angina, not for seizures.
C.   While phenytoin is an anti-seizure medication, it has a slower onset of action compared to lorazepam. It's used as a second-line agent in status epilepticus.
D.   Levetiracetam is an anti-epileptic drug, but not the first choice for acute seizure management like status epilepticus.

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Correct Answer is B

Explanation

A. Pupils round, 2mm and constricting to light is a normal pupil response.
B. Decreasing level of consciousness is a critical sign of deteriorating neurological status and requires immediate medical intervention.
C. Temporal headache is a common symptom after head injury but it is not as urgent as a decreasing level of consciousness.
D. Glasgow coma score of 13 indicates a mild to moderate head injury, but it's a static measurement. A decreasing level of consciousness would indicate worsening condition.

A. The drug is not given to clients who are taking anticoagulant or antiplatelet therapy. B. The drug is given in a bolus over the first 3 minutes followed by a continuous infusion. C. The recommended time for drug administration is within 90 minutes after admission to the emergency department. D. The maximum dosage of the drug, including the bolus, is 120 mg intravenously.

Correct Answer is B

Explanation

A. While there are strict inclusion and exclusion criteria for alteplase administration, this statement is overly broad. There are certain situations where anticoagulant or antiplatelet therapy can be managed to allow for alteplase use.
B. Alteplase is administered as a bolus over 1 minute, followed by an infusion over 60 minutes.
C. While time is critical in stroke treatment, the recommended window for alteplase administration is typically within 3-4.5 hours of symptom onset.
D. The maximum dose of alteplase is actually 0.9 mg/kg, up to a maximum of 90 mg.

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A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?

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Naxlex Comprehensive Predictor Exams

A client arrives to the emergency department by ambulance. The client has a possible traumatic brain injury after a fall from a roof. Which of the following assessment findings will the triage nurse report to the provider immediately?

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Explanation

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Correct Answer is B

Explanation

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