The nurse is providing medication to a patient with status epilepticus. The medication of choice for this patient would be:
1. A barbiturate
2. A steroid
3. An opioid
4. A benzodiazepine
4
Rationale 1: A barbiturate is not the medication of choice for a patient experiencing status epilepticus.
Rationale 2: A steroid is not the medication of choice for a patient experiencing status epilepticus.
Rationale 3: An opioid is not the medication of choice for a patient experiencing status epilepticus.
Rationale 4: The initial drug of choice is a benzodiazepine, usually lorazepam administered at the rate of 2 to 4 mg IV over 1 minute because it terminates seizures 75% to 80% of the time. The dose may be repeated after 5 to 10 minutes if the seizure has not stopped.
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A patient receives a new prescription for fluvoxamine (Luvox). What will the nurse instruct the patient about taking the medication?
A) Take medication after eating breakfast. B) Take medication with at least 8 ounces of liquid. C) The dosage may need to be increased if the patient is not feeling better in 2 weeks. D) The medication should be taken once a day before bedtime.
A patient comes to the industrial nurse and is frantic because the stoma to the colostomy has prolapsed 1 year after surgery. What is the best response by the nurse?
a. "If there are still feces coming from the stoma, then it is not blocked. Contact your surgeon for an evaluation." b. "You must come in immediately because the stoma may completely retract into your abdomen." c. "This is an emergency situation because it has stenosed." d. "Don't worry about that. Coughing or sneezing might have caused the prolapse. It will come back out in a few hours."
The nurse is assessing a pregnant client who is at 29 weeks gestation. The nurse notes that the client's blood pressure is 160/90 and documents that the clonus was noted after assessing the patellar reflex. Which assessment findings led the nurse to document this finding?
A. There was no response when the area directly above the knee was struck with the percussion hammer. B. The nurse noted an extension of the leg when the percussion hammer touched the area above the knee. C. The client complained of pain when the foot was dorsiflexed. D. The client's foot tapped against the nurse's hand when it was dorsiflexed.
Which of the following statements is correct?
A. Strokes are the fourth leading cause of death. B. Strokes are the second leading cause of death. C. Strokes are the third leading cause of death. D. Strokes are the leading cause of death.