A 7 year old with a history of tonic-clonic seizures has been actively seizing for 10 minutes. The child weighs 22 kg and currently has an intravenous (IV) line of D5 1/2 NS + 20 meq KCL/L running at 60 ml/hr. Vital signs are a temperature of 38 degrees C, heart rate of 120, respiratory rate of 28, and oxygen saturation of 92%. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse calls the primary healthcare provider with a recommendation for:
a) Rectal diazepam (Diastat).
b) IV lorazepam (Ativan).
c) Rectal acetaminophen (Tylenol).
d) IV fosphenytoin.
Answer: b) IV lorazepam (Ativan).
You might also like to view...
A client being treated for depression has been taking 300 mg amitriptyline (Elavil) daily for nearly a
year. She calls her case manager at the mental health clinic, stating she stopped taking her antidepressant 2 days ago and has developed something like the "flu," with cold sweats, nausea, a rapid heartbeat, and terrible nightmares when she sleeps. The nurse should advise the client a. to go to the nearest emergency department immediately. b. not to be alarmed and to take two aspirin and drink plenty of fluids. c. to take one dose of the tricyclic antidepressant and come to the clinic to see the physician. d. to resume taking the tricyclic antidepressant for 2 weeks and then discontinue again.
The nurse should keep abreast of current assistive technology for which of the following reasons? (Select all that apply.)
A) So that the nurse can become an entrepreneur in marketing these devices. B) These devices will enable older adults to care for themselves. C) These devices will enable older adults to function within the community. D) These devices will also afford older adults the opportunity to remain in the workforce as long as possible, despite having a disability.
As an indication that the safety needs of a client scheduled for an angiography are being addressed, the nurse would ask
a. "Are you allergic to any seafood?" b. "Have you gained or lost weight in the last 2 months?" c. "What is your age and marital status?" d. "When was the date of your last tetanus booster?"
A conscientious, explicit use of best evidence in making decisions about care is often termed:
A. evidence databases. B. evidence-based medicine. C. evidence guidelines. D. best evidence guidelines.