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 ["10"]
Explanation
To calculate the dose of valproic acid oral solution, the nurse should use the following formula:
Dose (mL) = Desired dose (mg) / Concentration (mg/mL)
Plugging in the values from the question, we get:
Dose (mL) = 500 mg / (250 mg / 5 mL)
Simplifying the fraction, we get:
Dose (mL) = 500 mg / 50 mg/mL
Dividing both sides by 50, we get:
Dose (mL) = 10 mL
Therefore, the nurse should administer 10 mL of valproic acid oral solution.
Correct Answer is B
Explanation
A. Asking family members to leave the room might be necessary for privacy, but it depends on the situation and the client's preferences. However, it might not be the only action needed to maintain privacy during the bed bath.
B. Closing the curtains around the client's bed is an essential step to shield the client from the view of others in the room. It helps create a private space for the bed bath procedure.
C. Using a blanket to cover the client might provide some modesty, but it might not offer enough privacy during the bed bath, especially if the client requires a complete bath that involves exposure of different body parts.
D. Closing the door of the client's room can help maintain privacy if there are no other visitors or staff who might inadvertently enter. However, closing the curtains around the bed is more specific to creating a private area during the bed bath itself.
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