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 D
Explanation
A. Maintenance: The maintenance stage occurs after a new behavior has been sustained for an extended period, typically six months or more. At this stage, the focus is on preventing relapse rather than actively implementing change.
B. Preparation: The preparation stage involves planning to take action within the near future, such as gathering resources or developing a plan. The behavior has not yet been implemented, which differs from the scenario described.
C. Contemplation: Contemplation is the stage in which individuals are aware of a problem and are thinking about making a change but have not yet committed to action. The group in this scenario has moved beyond mere consideration.
D. Action: The action stage is characterized by active implementation of strategies to modify behavior. Since the group is actively reducing pesticide use in the community gardens, they are engaged in the action stage of change.
Correct Answer is C
Explanation
A. Request an interpreter of a different sex from the client: The sex of the interpreter should generally match the client’s preference to ensure comfort and cultural sensitivity. Automatically choosing a different sex could cause distress or reduce effective communication.
B. Direct attention toward the interpreter when speaking to the client: The nurse should speak directly to the client, maintaining eye contact and addressing them personally, rather than focusing on the interpreter. This promotes engagement and respects the client’s autonomy.
C. Review the facility policy about the use of an interpreter: Understanding the facility’s interpreter policies ensures the nurse follows proper procedures for obtaining professional language services, maintains confidentiality, and delivers accurate and effective communication for informed consent and care planning.
D. Request a family member or friend to interpret information for the client: Using family or friends as interpreters is discouraged due to risks of miscommunication, bias, or breach of confidentiality. Professional interpreters ensure accurate, unbiased communication.
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