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Pharmacological and Parenteral Therapies · Multiple choice · Take action

A client has a tonic-clonic seizure lasting more than 5 minutes. Which medication should the nurse expect to give first?

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Correct answer: C

Status epilepticus is a seizure lasting 5 minutes or longer. A benzodiazepine (IV lorazepam, IM midazolam, or IV diazepam) is first-line, followed by a second-line agent such as fosphenytoin or levetiracetam.

Source: American Epilepsy Society. Guideline: Treatment of Convulsive Status Epilepticus (2016)

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This question is one of 182 Pharmacological and Parenteral Therapies items in NCLEXSim. On the NCLEX-RN, this category makes up 13–19% of the exam.

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Study tip
  • Learn high-alert drugs by their hold parameters and antidotes: digoxin, warfarin (vitamin K), heparin (protamine), opioids (naloxone), insulin, potassium.
  • Do 10 dosage calculations a day: tablets, liquids, mL/hr, gtt/min, mg/kg, and units/hr. Convert units first, round last.

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