A nurse is planning care for a client who has status epilepticus.
Which of the following interventions is the nurse's priority to include?
Administer phenytoin IV bolus to the client.
Administer diazepam intravenously to the client.
Provide the client oxygen at 6 L/min using a nasal cannula.
Turn the client to the lateral position during seizure activity.
The Correct Answer is B
The priority intervention for a nurse planning care for a client who has status epilepticus is to administer diazepam intravenously to the client.
Diazepam is a benzodiazepine medication that can help stop seizure activity and is often used as a first-line treatment for status epilepticus.
Choice A is incorrect because while phenytoin can be used to treat seizures, it is not typically used as a first-line treatment for status epilepticus.
Choice C is incorrect because while providing oxygen can be an important intervention for clients experiencing seizures, it is not the priority intervention.
Choice D is incorrect because while turning the client to the lateral position during seizure activity can help prevent aspiration, it is not the priority intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus and is most likely to be contracted from contaminated food or water or from close contact with a person or object that’s infected.
The hepatitis A vaccine can protect against hepatitis A and is recommended for travelers to high-risk areas.
Choice B is incorrect because hepatitis A is not transmitted through blood-to-blood exposure but rather through ingestion of contaminated food or water or through direct contact with an infectious person.
Choice C is incorrect because antibiotics are not used to treat viral infections such as hepatitis
A. Choice D is incorrect because the incubation period of hepatitis A is typically 2-6 weeks, not 5-10 days.
Correct Answer is D
Explanation
The nurse should plan to offer frequent, high-carbohydrate meals to the client who is receiving radiation and reports nausea since the therapy was initiated.
Eating smaller, more frequent meals rather than three large meals a day can help decrease nausea.
Choice A is incorrect because offering highly seasoned foods may not help with nausea.
Choice B is incorrect because offering hot beverages with meals may not help with nausea.
Choice C is incorrect because offering a snack prior to radiation therapy may not help with nausea.
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