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 D
Explanation
A. Bradypnea: This refers to a slower than normal respiratory rate, which is not a typical manifestation of pulmonary congestion. In fact, pulmonary congestion often leads to tachypnea (increased respiratory rate).
B. Jugular vein distention: This is more indicative of right-sided heart failure or fluid overload rather than left-sided heart failure, where the primary issue is related to pulmonary congestion.
C. Weight gain: While weight gain can occur due to fluid retention in heart failure, it is not specific to pulmonary congestion and can be seen in both left-sided and right-sided heart failure.
D. Frothy, pink sputum: This is a classic manifestation of pulmonary congestion and indicates the presence of fluid in the lungs, often seen in left-sided heart failure. The pink color is due to the presence of blood, which may leak into the alveoli due to increased pressure. This finding is critical and should be closely monitored.
Correct Answer is D
Explanation
A) Administer 0.9% sodium chloride IV: While fluid replacement is important in managing a thyroid storm, it is not the immediate priority compared to monitoring critical symptoms.
B) Provide a cooling blanket: Hyperthermia is a concern in a thyroid storm, and cooling measures are necessary, but they are secondary to addressing the cardiovascular effects.
C) Obtain the client's blood glucose: Monitoring blood glucose is important, especially in a hypermetabolic state, but it is not the most immediate concern in the context of a thyroid storm.
D) Monitor the client's cardiac rhythm: This is the priority action. Thyroid storm can cause significant cardiovascular complications, including tachycardia and arrhythmias. Continuous monitoring of the cardiac rhythm is essential to detect any life-threatening changes and to provide prompt intervention if necessary.
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