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    Nclex-Rn Readiness Test 1Question 96
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    Adult Health

    1114: A 22-year-old female client was with friends at a restaurant and reportedly started acting odd and then had uncontrollable and uncoordinated movements. This lasted three minutes. Once this terminated, EMS was called, and this occurred again and lasted four minutes. EMS administered lorazepam. The client does not have any medical history or take any medications. On exam, she did not recall the seizure, nor did she remember how she felt leading up to the seizure. She denied any drug use. She is drowsy following the administration of lorazepam but can sustain attention and is fully oriented. Glasgow Coma Scale 14. Will admit the client for observation.

    1129:

    • CT Scan of head
    • Electroencephalogram (EEG)
    • Magnetic Resonance Imaging (MRI) of brain
    • Complete blood count
    • Complete metabolic panel
    • Loading dose of intravenous (IV) phenytoin
    • Urine drug screen
    • Urine pregnancy test

    ➢ For each physician order, click to specify the appropriate nursing intervention

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