A child is brought to the emergency department in generalized tonic-clonic status epilepticus. Which medication should the nurse expect to be given initially in this situation?
a. Clorazepate dipotassium (Tranxene)
b. Fosphenytoin (Cerebyx)
c. Phenobarbital
d. Lorazepam (Ativan)
D
Lorazepam or diazepam is given intravenously to control generalized tonic-clonic status epilepticus and may also be used for seizures lasting more than 5 minutes. Clorazepate dipotassium (Tranxene) is indicated for cluster seizures. It can be given orally. Fosphenytoin and phenobarbital can be given intravenously as a second round of medication if seizures continue.
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When formulating a nursing diagnosis, on which element should the nurse focus? Select all that apply
1. The patient's disease or condition 2. The severity of the patient's disease or condition 3. The patient's adaptation to the disease or condition 4. How the patient's disease or condition will be treated 5. How the patient's disease or condition affects the patient's life
The nurse administered the Mini-Cog screening tool to an older patient. The patient was able to remember two of the three unrelated words and did not identify the correct time on the drawn clock. How will the nurse document this finding?
A) Nondemented according to Mini-Cog screening tool B) Normal according to Mini-Cog screening tool C) Demented according to Mini-Cog screening tool D) Normal demented according to Mini-Cog screening tool
Which of the following is an example of a system check?
1. When a duplicate entry is entered into the system, that entry is immediately deleted. 2. The nurse asks clients to verify their names when prompted by the computer system. 3. After turning on the bedside computer, the system performs a self-check before data will input. 4. Software in the system automatically corrects misspelled words and abbreviations.
Which of the following statements describe accurate information about family-focused communication? A nurse's communication with a family:
1. Usually focuses on the individual family member with an illness. 2. Usually begins with a nurse sharing personal information. 3. Aims to develop a caring relationship that sees the individual and family as the unit of care. 4. Most often requires a nurse to determine the direction for family-focused communication.