The nurse is caring for an older patient who has been newly diagnosed with tonic–clonic seizures. About which medication should the nurse prepare to instruct the patient?
1. Diazepam (Valium)
2. Phenytoin (Dilantin)
3. Clonazepam (Klonopin)
4. Valproic acid (Depakene)
2
Rationale: Diazepam (Valium) may be used in emergency seizure situations but is not routinely prescribed for tonic–clonic seizures.
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What should the nurse do first if a controlled substance is accidentally spilled or contaminated?
a. Obtain another dose from the narcotic control system. b. Document the occurrence in the medication record. c. Clean up the spill and notify the supervisor. d. Ask another nurse to cosign the inventory record describing the situation.
The nurse observes a client being treated for depression sitting with the head down and avoiding conversation with peers
Which nursing intervention is appropriate for this client? A) Ask open-ended questions about the client's feelings. B) Ask the client close-ended questions. C) Encourage a peer to sit with the client and the nurse. D) Tell the client that lack of involvement leads to more depression.
A client describes ripping sounds in his knee during a fall while skiing. The nurse explains to the client that the diagnostic test that will provide the best data is a(n)
a. arthrogram. b. bone scan. c. myelogram. d. x-ray film.
Assessment of heart sounds begins by locating the aortic area. This area is found at the:
1. second left intercostal space close to the sternum. 2. second right intercostal space close to the sternum. 3. third left intercostal space close to the sternum. 4. third right intercostal space close to the sternum.