A patient is brought to the emergency department in status epilepticus. After IV access is established, which medication would the nurse anticipate administering first to rapidly terminate the seizure?

A family member asks why a client with early Alzheimer’s disease is prescribed donepezil. Which explanation best reflects the drug’s purpose?

A patient weighs 16.5kg and is prescribed a medication for 0.4mg/kg/dose. The stock strength is 20mg/5mL. What volume (in mL) will you administer to the patient? If needed, round to the nearest tenth. Include the units in your response.

A 38-year-old with nicotine use disorder takes varenicline, buprenorphine-naloxone, and duloxetine. What should be monitored?

A patient with myasthenia gravis, managed on pyridostigmine, is admitted with extreme muscle weakness, excessive salivation, and bradycardia. The nurse suspects a cholinergic crisis. What is the most likely cause and the appropriate antidote?

Case continues…At follow-up, the client reports partial relief with sumatriptan but continues to experience 5 migraines monthly. Because migraines remain frequent, the provider adds rimegepant.

A client with Parkinson’s disease is started on levodopa/carbidopa. One week later, the client reports improved rigidity and tremor but also experiences lightheadedness when standing. Which nursing interpretation is MOST appropriate?

A patient is experiencing a “fight or flight” response due to stress. Which of the following physiological changes is mediated by the sympathetic nervous system?

 A client taking a MAOI is prescribed tramadol for pain. What is the critical nursing concern?

Case Study # 1: Please read the case and answer the questions that follow. A 41-year-old female presents to the neurology clinic for worsening migraines. She reports a 10-year history of migraine with aura. Over the past 3 months, frequency has increased to 5–6 episodes per month. Migraines typically begin with flashing lights and blurred peripheral vision lasting 20–30 minutes, followed by unilateral throbbing pain rated 8/10, nausea, photophobia, and phonophobia. Headaches last 12–24 hours if untreated.She reports missing work twice this month due to migraine severity.Medical history:Hypertension (controlled with lisinopril 10 mg daily)Hyperlipidemia (LDL 162 mg/dL)BMI 31Former smoker (20 pack-years; quit 2 years ago)No known coronary artery diseaseCurrent medications:Lisinopril 10 mg dailyCombined oral contraceptive pill (ethinyl estradiol/norgestimate)Occasional acetaminophen (minimal relief)No prior triptan useVital signs:BP 138/86HR 78BMI 31The provider prescribes sumatriptan for acute migraine attacks and schedules follow-up in 6 weeks.