A nurse is preparing to administer citalopram 30 mg PO to a client who has major depression.

Available in citalopram 20 mg tablets.

How many tablets should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies.)

Choice A rationale:

Acamprosate is used to help manage alcohol dependence, but it’s not typically used for acute withdrawal symptoms.

Choice B rationale:

Lorazepam is a benzodiazepine, which is the first-line treatment for alcohol withdrawal delirium due to its efficacy in reducing withdrawal symptoms and preventing complications.

Choice C rationale:

Disulfiram is used as a deterrent for alcohol consumption, not for managing withdrawal symptoms.

Choice D rationale:

Methadone is used for opioid dependence, not alcohol withdrawal.

So, the correct answer is B. Lorazepam.

Choice A rationale:

Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.

Choice B rationale:

Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.

Choice C rationale:

Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.

Choice D rationale:

Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.

So, the correct answer is, none of the above.