A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?
Clonazepam
Lorazepam
Carbamazepine
Lamotrigine
The Correct Answer is B
A. Clonazepam: Clonazepam is a benzodiazepine used for chronic seizure management rather than acute seizure emergencies. It is not the first-line medication for rapidly terminating ongoing seizure activity in status epilepticus.
B. Lorazepam: Lorazepam is the first-line medication for status epilepticus due to its rapid onset and longer duration of action in the CNS. It effectively suppresses continuous seizure activity and is preferred in acute management settings.
C. Carbamazepine: Carbamazepine is used for long-term control of partial and generalized tonic-clonic seizures. It has a delayed onset and is not appropriate for immediate seizure termination.
D. Lamotrigine: Lamotrigine is a maintenance antiepileptic medication used for seizure prevention. It does not act quickly enough to manage active, prolonged seizures such as status epilepticus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Repeat the dose if your child vomits within 1 hour after taking the medication.": Repeating a dose after vomiting can increase the risk of digoxin toxicity. It is important to notify the healthcare provider rather than automatically administering another dose.
B. "Limit your child's potassium intake while she is taking this medication.": Limiting potassium is unsafe, as low potassium levels increase the risk of digoxin toxicity. Adequate potassium intake should be maintained, and potassium levels monitored, especially if the child is on diuretics.
C. "Have your child drink a small glass of water after swallowing the medication.": Encouraging the child to drink water helps ensure the full dose is swallowed and reduces irritation to the esophagus, promoting safe and effective administration.
D. "You can add the medication to a half-cup of your child's favorite juice.": Digoxin should not be mixed with large volumes of liquid because toddlers may not consume the entire dose, leading to underdosing. Small amounts of liquid can be used to aid administration but must be measured carefully.
Correct Answer is B
Explanation
A. A client who is bedridden and wears a hearing aid: While immobile clients require assistance during evacuation, hearing loss does not inherently increase immediate risk in a fire scenario. Evacuation priority is based on threat to life, not sensory impairment alone.
B. A client who is ambulatory and receiving oxygen: Oxygen therapy increases the risk of rapid combustion in a fire. An ambulatory client on supplemental oxygen poses the greatest immediate danger and should be evacuated first to prevent serious injury or death from fire or explosion.
C. A client who has a fracture and is in balanced suspension traction: Clients in traction are immobile and require additional assistance for safe evacuation, but they do not present the highest immediate risk compared with a client on oxygen near a fire.
D. A client who uses a wheelchair and is confused: Confusion can complicate evacuation and requires supervision, but oxygen exposure in a fire presents a more imminent threat, making this client a lower priority than the client receiving oxygen.
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