The nurse is caring for a client who is in status epilepticus. What medication should the nurse anticipate administering to halt the seizure immediately?
Intravenous phenobarbital.
Oral phenytoin.
Intravenous diazepam.
Oral lorazepam.
The Correct Answer is C
Choice A rationale
Intravenous phenobarbital can be used to treat status epilepticus, but it is not the first-line drug due to its slower onset of action compared to benzodiazepines. Rapid intervention is critical in status epilepticus, and phenobarbital is generally reserved for refractory cases.
Choice B rationale
Oral phenytoin is used for long-term control of seizures but is not effective for immediate cessation of status epilepticus. It takes longer to reach therapeutic levels and is not suitable for acute management.
Choice C rationale
Intravenous diazepam is a benzodiazepine with a rapid onset of action, making it effective in stopping seizures immediately. It enhances GABA activity, which has an inhibitory effect on neuronal firing, providing quick control of status epilepticus. This rapid effect is crucial for minimizing neuronal damage and other complications.
Choice D rationale
Oral lorazepam is effective for long-term management of seizures but is not appropriate for immediate treatment of status epilepticus. The oral route delays absorption and onset of action, making it unsuitable for acute seizure control. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The largest area of the body without hair is not selected as it is not necessary for the graft to be hairless. The primary concern is matching the color and texture, not the absence of hair.
Choice B rationale
Any area that is not normally visible is not ideal as visibility is not the primary concern. The donor site needs to match the surgical site in color and texture to ensure a natural appearance.
Choice C rationale
An area matching the color and texture of the skin at the surgical site is selected to ensure the graft blends well with the surrounding skin and appears natural once healed.
Choice D rationale
An area matching the sensory capability of the skin at the surgical site is not typically a concern in graft selection. The focus is on the appearance and integration of the graft.
Correct Answer is C
Explanation
Choice A rationale
Deficient fluid volume is not the primary concern related to weight loss or ill-fitting dentures. While fluid intake should be monitored, it is less immediate than gastrointestinal issues from fiber deficiency.
Choice B rationale
Excessive intake of convenience foods might relate to weight loss but does not directly indicate a health risk. The primary risk is more focused on gastrointestinal function.
Choice C rationale
Constipation is a major risk due to limited fiber intake. Fiber is essential for bowel movement regularity, and its deficiency, coupled with ill-fitting dentures, increases the risk.
Choice D rationale
Infection is not directly related to the dietary concerns noted. While poor nutrition can weaken the immune system, it is not the most immediate health risk connected to the given symptoms. .
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