A nurse is caring for an older adult client who has a prescription for lorazepam 0.5 mg. Which of the following findings should the nurse report to the provider immediately?
Disorientation
Anorexia
Increased anxiety
Blurred vision
The Correct Answer is A
A. Disorientation in an older adult after taking lorazepam could indicate an adverse reaction or an excessive sedative effect. It's crucial to report this immediately as it may signify an overdose or an adverse reaction to the medication. Older adults are more sensitive to the sedative effects of benzodiazepines, and disorientation can indicate potential serious side effects.
B. Anorexia (loss of appetite) is a possible side effect of lorazepam but is not typically considered an urgent or immediate concern unless it leads to severe dehydration or other complications.
C. Increased anxiety could potentially occur due to paradoxical reactions to benzodiazepines; however, it's not typically considered an urgent or immediate concern unless it's severe or distressing to the client.
D. Blurred vision is a common side effect of lorazepam and other benzodiazepines. While it should be monitored and reported, it might not be considered an urgent concern unless it's significantly affecting the client's ability to function or is accompanied by other severe symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. A client who has had prolonged diarrhea:
Prolonged diarrhea is not typically associated with an increased risk of aspiration during eating.
B. A client who has lactose intolerance:
Lactose intolerance primarily affects the ability to digest lactose-containing foods and does not directly increase the risk of aspiration.
C. A client who has had radiation therapy for head and neck cancer:
Radiation therapy to the head and neck can cause damage to the structures involved in swallowing, increasing the risk of aspiration.
D. A client who has had a stroke:
Stroke can affect the coordination of swallowing muscles, leading to dysphagia (difficulty swallowing) and an increased risk of aspiration.
E. A client who is 4 hr postoperative following a leg amputation under general anesthesia:
Postoperative clients under general anesthesia may experience impaired protective airway reflexes, making them prone to aspiration. It's important to monitor these clients closely during the initial recovery period.
Correct Answer is ["2"]
Explanation
To calculate the number of tablets that the nurse should administer, the nurse needs to divide the prescribed dose by the available dose.
In this case, the prescribed dose is aspirin 650 mg PO and the available dose is aspirin 325 mg tablets.
Therefore, the nurse should divide 650 by 325, which gives 2.
Therefore, the nurse should administer 2 tablets of aspirin 325 mg PO.
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