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 A

Explanation

A. Wiping the nose instead of blowing it reduces the risk of trauma to the nasal mucosa, which can lead to bleeding, especially in individuals with thrombocytopenia.
B. Removing shoes inside the house is a general hygiene practice and does not specifically address the risk of bleeding associated with thrombocytopenia.
C. Using an enema to manage constipation is unrelated to thrombocytopenia and may not be indicated without further assessment and guidance from healthcare providers.
D. While oral hygiene is important, flossing may increase the risk of gum bleeding in individuals with thrombocytopenia, and its frequency should be discussed with healthcare providers.

A. Chorioamnionitis B. Fetal anemia C. Maternal hypoglycemia D. Maternal fever

Correct Answer is C

Explanation

A. Chorioamnionitis, an infection of the fetal membranes, can lead to fetal tachycardia and no bradycardia
B. Fetal anemia might present with tachycardia rather than bradycardia.

C. Maternal hypoglycemia can cause fetal bradycardia since when a mother experiences hypoglycemia, it can result in inadequate blood glucose levels that are crucial for both her and the fetus. This condition can impair the oxygen and nutrient delivery to the fetus, as the mother's body prioritizes her own metabolic needs. Consequently, the fetal heart rate may slow down as a response to the stress of reduced energy supply.
D. Maternal fever is associated with fetal tachycardia rather than bradycardia.

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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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