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 C
Explanation
A) Apply petroleum jelly to soothe the mucous membranes: This is not advisable, as petroleum jelly is flammable and can pose a risk when using oxygen. Instead, a water-based lubricant is safer for mucous membranes.
B) Clean the equipment with an alcohol-based cleaning product: Alcohol is flammable and not recommended for cleaning oxygen equipment. Mild soap and water are more suitable for maintaining cleanliness.
C) Avoid using nail polish remover around the client: This is the correct answer. Nail polish remover often contains acetone, which is flammable and should be avoided in environments where oxygen is in use to prevent fire hazards.
D) Use synthetic fabrics for the client's bedding: This is incorrect. Natural fabrics like cotton are preferred because synthetic fabrics can create static electricity, increasing the risk of fire in the presence of oxygen.
Correct Answer is D
Explanation
A. Premature Infant Pain Profile (PIPP): This scale is specifically designed for assessing pain in preterm infants and may not be suitable for a newborn delivered at 38 weeks of gestation.
B. FACES pain rating scale: This scale is typically used for older children who can understand and relate to facial expressions, making it inappropriate for assessing pain in newborns.
C. Visual analog scale (VAS): This scale is also not suitable for newborns, as it requires the ability to understand and interpret a continuous scale, which newborns cannot do.
D. Neonatal Infant Pain Scale (NIPS): This is the most appropriate choice for assessing pain in a newborn. It evaluates indicators such as facial expression, cry, breathing patterns, and extremity movement, making it suitable for this age group and context.
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