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A client presents to the healthcare setting with an episode of status epilepticus. Which of the following rescue medications would be utilized in this scenario to assist in stopping the client's seizures?

A.

benztropine (Cogentin)

B.

phenytoin (Dilantin)

C.

diazepam (Valium)

D.

ethosuximide (Zarontin)

Answer and Explanation

The Correct Answer is C

A. Benztropine (Cogentin) is an anticholinergic used primarily for Parkinson's disease and does not have an effect on seizure activity.  

 

B. Phenytoin (Dilantin) is an antiepileptic medication, but it is not typically used as a rescue medication for immediate cessation of seizures in status epilepticus; it is used for long-term management.  

 

C. Diazepam (Valium) is a benzodiazepine that acts quickly to stop seizures and is commonly used in acute situations, including status epilepticus, due to its rapid onset of action.  

 

D. Ethosuximide (Zarontin) is primarily used for absence seizures and is not indicated for status epilepticus.


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Correct Answer is C

Explanation

A. Morphine is a category C medication, which means it may be used if the benefits outweigh the risks; it is not contraindicated in pregnancy.

B. Famotidine (Pepcid) is also a category B medication and is generally considered safe to use during pregnancy.

C. Misoprostol (Cytotec) is classified as category X due to its association with causing uterine contractions and the potential for fetal harm; thus, it should be avoided during pregnancy.

D. Ibuprofen (Advil) is a category C medication, and while it is not typically recommended in the third trimester, it is not classified as category X.

Correct Answer is A

Explanation

A. Oxymetazoline should not be used for more than 3 days because prolonged use can lead to rebound congestion.

B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.

C. Oxymetazoline has a rapid onset and should not take a week to show effects.

D. Oxymetazoline is a nasal decongestant and is not used for asthma management.

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