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 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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Related Questions
Correct Answer is C
Explanation
A. Informing the client that the transfusion is mandatory disregards the client's autonomy and right to refuse treatment.
B. While documenting the client's refusal is important, notifying risk management about the refusal is not necessary unless there are specific facility policies or legal requirements.
C. Documenting the client's refusal in the medical record ensures that the refusal is properly recorded and communicated to the healthcare team, protecting both the client's autonomy and the healthcare provider.
D. While it's important to respect the client's autonomy, suggesting alternative therapies may not be appropriate in this context and could undermine the client's decision-making process.
Correct Answer is C
Explanation
A. Referring the family to a chronic pain support group may be beneficial but does not address the immediate need to assess the child's current condition and management.
B. Requesting a change in medication from the provider may be necessary but should be based on a thorough assessment, including reviewing the child's pain diary.
C. Reviewing the child's electronic pain diary allows the nurse to gather important information about the frequency, severity, triggers, and effectiveness of current interventions for migraine headaches, guiding further assessment and management.
D. While involving the school nurse may be part of the child's care plan, it does not address the immediate need to assess the child's current condition and management.
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