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

Answer and Explanation

The Correct Answer is D

A.   Clonazepam. While also a benzodiazepine, it is not typically the first choice for immediate management of status epilepticus.

B.   Carbamazepine. Used for chronic management of seizures, not for acute seizure episodes like status epilepticus.
C.   Lamotrigine. Also used for long-term seizure management and not suitable for acute intervention in status epilepticus.
D.   Lorazepam is a benzodiazepine used as a first-line treatment for status epilepticus due to its rapid onset of action and efficacy in stopping seizures quickly.

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Correct Answer is C

Explanation

A. Determine the need for additional providers: Determining the need for additional providers is typically the responsibility of the hospital administration or incident command team, not the unit nurse.

B. Act as a spokesperson to provide information to the media: Communication with the media is managed by designated public relations personnel or a hospital spokesperson, not the unit nurse.

C. Recommend to the provider a list of clients for early discharge: The unit nurse is responsible for assessing which clients are stable enough for discharge and communicating these recommendations to the provider. This helps prioritize bed availability and ensures appropriate allocation of resources during a disaster.

D. Decide which clients should be transported for a higher level of care: This decision is typically made by the disaster management team or the provider, with input from the nurse. Nurses may report clinical details to help inform the decision but do not make the final determination.

A. "Do you need information on hospice care?" B. "Would you like to talk to a counselor about advance directives?" C. "Would you like to speak to a spiritual advisor?" D. "Do you need a prescription for an antianxiety medication?"

Correct Answer is C

Explanation

A. While hospice care may be appropriate for the client, it does not directly address the client's reported depression.
B. Discussing advance directives is important for end-of-life care planning, but it may not address the client's current emotional needs.
C. Offering spiritual support acknowledges the client's emotional distress and provides an opportunity for comfort and guidance that aligns with the client's values and beliefs.
D. Offering medication without further assessment or exploration of the client's feelings may not be the most therapeutic response to the reported depression.

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A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?

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