A.A.'s seizure activity does not subside. the physician orders an additional 4 mg of IV lorazepam without
effect. twenty minutes have now elapsed since you initially found A.A. having seizure activity.
What is the significance of this time lapse?
If seizures persist beyond 30 minutes, a vicious cycle of maladaptive physiologic responses occurs.
The seizures cause a marked increase in cerebral metabolic activity and demands. These demands
might outpace the delivery of oxygen and nutrients from the cerebral blood flow; further seizures
then lead to extreme cerebral hypoxia that can result in severe, irreversible neurologic deficits and
even death.
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The psychiatric home health nurse is evaluating whether a client's level of functioning has improved since starting the prescribed psychotropic medication. What evidence does the nurse look for?
1. There is no change in the GAF score. 2. There is a significant decrease (by 10 or more points) in the client's GAF score. 3. The client no longer qualifies for a GAF score. 4. There is an increase in the client's GAF score.
Managers should use networking to stay personally motivated. What does the manager do with "Networking"?
A) Joins a group that will bolster self-esteem B) Joins a group that is social in nature so one will be able to unwind from work C) Joins a professional group to which one can contribute and that serves to further professional goals D) Joins a community service group to meet altruistic needs
The nurse planning the care of a patient with head injuries is addressing the patient's nursing diagnosis of "sleep deprivation." What action should the nurse implement?
A) Administer a benzodiazepine at bedtime each night. B) Do not disturb the patient between 2200 and 0600. C) Cluster overnight nursing activities to minimize disturbances. D) Ensure that the patient does not sleep during the day.
The nursing staff has been using the SBAR format to structure communication for the past few months. Successful implementation of this system would be present if the nurse manager made which statement?
a. "There are fewer omissions in patient care than before implementing this system.". b. "Fewer nurses are coming in late when they are scheduled to work.". c. "The medications are given on time now.". d. "The patient length of stay has decreased since last year.".