The nurse observes a novice nurse caring for a client experiencing status epilepticus. It will require immediate intervention if the novice nurse does which of the following?
Activates the rapid response team (RRT).
Loosens any restrictive clothing.
Places the client in a lateral position.
Prepares to administer intravenous valproate acid.
The Correct Answer is D
Choice A rationale: Activates the rapid response team (RRT) - Status epilepticus is a medical emergency requiring immediate intervention. Activating the rapid response team would ensure a prompt response to the situation.
Choice B rationale: Loosens any restrictive clothing - It is important for patient safety and comfort.
Choice C rationale: Places the client in a lateral position - This is a recommended positioning to prevent aspiration during a seizure.
Choice D rationale: Prepares to administer intravenous valproate acid - Valproic acid is not the first drug during epilepsy hence this action would necessitate immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: While gastrointestinal issues like loose stools can occur in Parkinson's disease due to impaired bowel movements, they are not the highest risk related to dietary considerations. Choking might occur due to dysphagia, but it's not specifically the highest risk.
Choice B rationale: Drooling, due to weakened or uncoordinated swallowing muscles, is common in Parkinson's disease but might not pose the highest risk. A loss of appetite can occur but might not be the highest dietary risk for the client.
Choice C rationale: Constipation is a common gastrointestinal issue in Parkinson's disease, but though problematic, it's not the highest risk concerning dietary considerations. Drooling can also be present but might not be the primary dietary concern.
Choice D rationale: Parkinson's disease often leads to dysphagia (difficulty swallowing) and aspiration (inhalation of food or liquids into the lungs). These present significant risks related to dietary considerations, as they can lead to serious complications such as pneumonia due to aspiration.
Correct Answer is B
Explanation
Choice A rationale: Elevated T3 and T4 with low TSH levels are indicative of hyperthyroidism, not a side effect of radioactive iodine treatment.
Choice B rationale: One of the expected side effects of RAI treatment for hyperthyroidism is permanent hypothyroidism (or underactive thyroid, when the thyroid does not produce enough hormones). Elevated TSH levels with low T3 and T4 are indicative of hypothyroidism.
Choice C rationale: Low TSH, T3, and T4 levels are not typical outcomes of radioactive iodine treatment; typically, the treatment leads to a decrease in T3 and T4 with increased TSH levels.
Choice D rationale: Elevated TSH and low T3 is major side effect of radioactive iodine treatment for hyperthyroidism. However, it does not cause elevated T4 levels.
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