A patient is experiencing status epilepticus. The nurse prepares to give which drug of choice for the treatment of this condition?

diazepam

midazolam

valproic acid

carbamazepine

Answer and Explanation

The Correct Answer is A

A. Diazepam

For the treatment of status epilepticus, the drug of choice is typically a benzodiazepine, and diazepam is commonly used. Diazepam is a fast-acting anticonvulsant that can be administered intravenously to rapidly terminate seizures during status epilepticus.

B. Midazolam

Midazolam is another benzodiazepine that can be used for the treatment of status epilepticus, particularly when intravenous access is difficult. It can be administered intramuscularly or intranasally.

C. Valproic Acid

Valproic acid is an anticonvulsant, but it is not typically the first-line choice for the acute treatment of status epilepticus. It may be considered if benzodiazepines are not effective.

D. Carbamazepine

Carbamazepine is not used for the acute treatment of status epilepticus. It is more commonly used as a maintenance therapy for epilepsy.

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Correct Answer is C

Explanation

A. Blood cultures will need to be drawn.

Blood cultures are not typically used for diagnosing H. pylori infection. Instead, specific blood tests, such as serology or antibody tests, may be employed to detect antibodies against H. pylori.

B. A biopsy of the stomach will be done.

While a biopsy may be taken during an upper endoscopy to examine the stomach lining for ulcers and H. pylori infection, it is not the primary method for detecting the presence of H. pylori. The biopsy may be used for confirming the infection and assessing the severity of damage.

C. A breath test will be performed.

This is the correct choice. The breath test is a common and non-invasive method used to detect the presence of H. pylori. The patient drinks a solution containing a substance that H. pylori can break down, and the detection of carbon dioxide in the patient's breath indicates the presence of the bacteria.

D. Computerized scanning will identify if H. pylori is present.

Computerized scanning, such as computed tomography (CT) scans, is not a primary method for detecting H. pylori. Imaging studies are not typically used for H. pylori diagnosis, and the methods mentioned earlier, like breath tests and endoscopy, are more commonly employed.

Correct Answer is ["2"]

Explanation

To calculate the dose of fluconazole for a child who weighs 44 pounds, you need to convert the weight to kilograms and the dose to milligrams.

One kilogram is equal to 2.2 pounds, so 44 pounds is 44 / 2.2 = 20 kilograms.

The dose of fluconazole is 5 mg/kg, so 5 mg x 20 kg = 100 mg.

The label on the bottle says that each tablet contains 50 mg of fluconazole, so you need to divide the dose by the tablet strength to get the number of tablets. 100 mg / 50 mg = 2 tablets.

Therefore, you should administer two tablets of fluconazole once a day for this child.

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A patient is experiencing status epilepticus. The nurse prepares to give which drug of choice for the treatment of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is suspected to have peptic ulcer disease from H. pylori. The patient asks the nurse what kind of testing will be done to determine the cause of the peptic ulcer. What will the nurse tell the client?

Correct Answer is C

Explanation

Order: Fluconazole (Diflucan) 5 mg/kg p.o. every day. The label on the bottle reads "50 mg/tablet." Calculate how many capsules you should administer for a child who weighs 44 pounds.

Correct Answer is ["2"]

Explanation

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