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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale: Anterior spinal artery syndrome is caused by ischemia of the anterior two-thirds of the spinal cord, resulting in loss of motor function and pain and temperature sensation below the level of the lesion.

Choice B rationale: This is a condition that occurs when the nerve roots in the lower end of the spinal cord are compressed, causing symptoms such as lower back pain, sciatica, saddle anesthesia, bladder and bowel dysfunction, and sexual dysfunction.

Choice C rationale: Horner's syndrome is caused by damage to the sympathetic nerve fibers in the neck or chest, resulting in drooping eyelid, constricted pupil, and lack of sweating on one side of the face.

Choice D rationale: Brown-Séquard syndrome is caused by hemisection of the spinal cord, resulting in ipsilateral loss of motor function and proprioception and contralateral loss of pain and temperature sensation below the level of the lesion.

A. Increase in serum lipid levels. B. Decrease in blood pressure to normal. C. Gain in body weight. D. Disappearance of protein from the urine.

Correct Answer is D

Explanation

Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.

Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.

Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.

Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which disorder is associated with the compression of the bilateral nerve roots of the lumbosacral region?

Correct Answer is B

Explanation

What change indicates recovery in a patient with nephrotic syndrome?

Correct Answer is D

Explanation

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Which antidiabetic medication is a sulfonylurea?