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 C

Explanation

A. A slight increase in temperature is common after surgery and might not necessarily indicate shock.
B. A slight decrease in respiratory rate is not indicative of shock. In fact, as shock progresses, respiratory rate often increases.
C. An increased heart rate is a classic compensatory mechanism in response to decreased blood volume, as the body tries to maintain blood pressure.
D. While a decrease in urinary output can be a sign of impending shock, it's often a later sign. In the early stages, the body prioritizes blood flow to vital organs, and urine output may still be within normal limits.

A. Ask the client to multi-task. B. Speak to the client about one idea at a time. C. Focus on a single form of communication. D. Limit questions to yes and no answers.

Correct Answer is B

Explanation

A. This would be overwhelming for a client with global aphasia, as they have difficulty processing information.
B. This is the correct approach. Breaking down information into smaller, manageable chunks makes it easier for the client to understand.
C. While consistency is important, limiting communication to one method can be restrictive. It's better to use a variety of techniques (verbal, nonverbal, written, etc.) to support understanding.
D. This can be limiting and frustrating for the client. It's essential to encourage all forms of communication, even if it's difficult.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock?

Correct Answer is C

Explanation

A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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