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 B

Explanation

A: Tachycardia might occur due to the fever itself but isn't a specific reaction to the cooling method.
B: Shivering is an adverse reaction because it indicates that the body is trying to generate heat to counteract the cooling effect of the blanket, which can increase metabolic demand and is counterproductive.
C: Flushing is typically related to fever or other causes but not directly to the adverse reaction of cooling.
D: Restlessness can be caused by discomfort or the fever itself, not specifically by cooling.

A. Raised facial rash B. Hemangiomas C. Kaposi's sarcoma lesions D. Psoriasis

Correct Answer is A

Explanation

A. Raised facial rash, often in a "butterfly" distribution across the cheeks and bridge of the nose, is a characteristic manifestation of systemic lupus erythematosus.
B. Hemangiomas are not typically associated with systemic lupus erythematosus.

C. Kaposi's sarcoma lesions are associated with immunosuppression, such as in HIV infection, and are not a typical finding in systemic lupus erythematosus.
D. Psoriasis is a separate autoimmune condition characterized by red, scaly patches on the skin and is not typically associated with systemic lupus erythematosus.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?

Correct Answer is B

Explanation

A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

Correct Answer is A

Explanation

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