A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?
Clonazepam
Carbamazepine
Lamotrigine
Lorazepam
The Correct Answer is D
A) Clonazepam: While clonazepam can be used for seizure management, it is not the first-line treatment for status epilepticus.
B) Carbamazepine: This medication is used for the long-term management of epilepsy but is not suitable for the acute treatment of status epilepticus.
C) Lamotrigine: Similar to carbamazepine, lamotrigine is used for long-term seizure control but is not indicated for acute episodes like status epilepticus.
D) Lorazepam: This is the correct answer. Lorazepam is a benzodiazepine and is commonly used as a first-line treatment for status epilepticus due to its rapid onset and effectiveness in terminating prolonged seizures. Administering lorazepam can help stabilize the client and prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Fetal anemia:Fetal anemia typically causes tachycardia (increased heart rate) rather than bradycardia (decreased heart rate). It is not a common cause of fetal bradycardia.
B) Maternal hypoglycemia:Maternal hypoglycemia can lead to decreased glucose availability for the fetus, resulting in fetal bradycardia. It is important to monitor and manage maternal blood glucose levels to ensure adequate fetal oxygenation and prevent bradycardia.
C) Chorioamnionitis:Chorioamnionitis, an infection of the amniotic fluid and membranes, usually causes fetal tachycardia rather than bradycardia. It is associated with an increased fetal heart rate due to the inflammatory response.
D) Maternal fever:Maternal fever is more likely to cause fetal tachycardia due to the increased metabolic rate and oxygen demand. It is not typically associated with fetal bradycardia.
Correct Answer is C
Explanation
A) Swaddle the newborn with his legs extended: This is not the appropriate way to swaddle a newborn. Swaddling should typically include flexing the legs to promote comfort and security, rather than extending them, which may be uncomfortable and less calming.
B) Maintain eye contact with the newborn during feedings: While establishing a bond with the newborn is important, excessive eye contact can overstimulate a newborn experiencing neonatal abstinence syndrome. The focus should be on creating a calming environment.
C) Minimize noise in the newborn's environment: This action is critical for a newborn experiencing neonatal abstinence syndrome, as these infants can be sensitive to stimuli. Reducing noise helps create a more soothing environment, which can alleviate symptoms of withdrawal.
D) Administer naloxone to the newborn: Naloxone is used to reverse opioid overdose, but it is not appropriate for routine treatment of neonatal abstinence syndrome. Management typically includes supportive care and, in some cases, pharmacologic treatment specific to the infant’s symptoms, rather than naloxone.
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