A nurse is reviewing a client's new prescription for lorazepam 4 mg at bedtime. Which of the following components of the prescription should the nurse clarify with the provider?
Medication name
Dosage
Frequency
Route
The Correct Answer is D
The correct answer is choice D. Route.
Choice A rationale:
The medication name, lorazepam, does not need clarification as it is a commonly prescribed benzodiazepine, known for its effectiveness in treating anxiety and its off-label use as a sleep aid.
Choice B rationale:
The dosage of 4 mg at bedtime falls within the typical dosing range for lorazepam when used for insomnia caused by anxiety or transient situational stress in adults. However, it is on the higher end of the spectrum, and lower doses are often recommended, especially for older adults.
Choice C rationale:
The frequency, ‘at bedtime’, is appropriate for lorazepam when prescribed as a sleep aid, as it is typically taken as a single dose at night.
Choice D rationale:
The route should be clarified. Lorazepam can be administered orally in tablet form or as an oral solution, and the prescription should specify this to ensure proper administration. Additionally, if the patient has difficulty swallowing, the route of administration might need to be adjusted, and alternative forms like an injectable route could be considered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Step 1: Define the total amount of diphenhydramine needed Total dose = 30 mg
Step 2: Define the concentration of the available diphenhydramine injection Concentration = 50 mg/mL
Step 3: Calculate the volume of diphenhydramine injection needed Volume = Total dose ÷ Concentration Volume = 30 mg ÷ 50 mg/mL Volume = 0.6 mL
The nurse should administer 0.6 mL of diphenhydramine injection per dose
Correct Answer is ["2.8"]
Explanation
Step 1: The dose to be administered is9 mg of aripiprazole.
Step 2: The available aripiprazole injection has a concentration of9.75 mg/3 mL. This means that for every 3 mL of the solution, there are 9.75 mg of aripiprazole.
Step 3: To find out how many mL should be administered, we divide the dose by the concentration. So, 9 mg ÷ (9.75 mg/3 mL) = 2.769230769230769 mL.
Step 4: Round the answer to the nearest tenth. So, 2.769230769230769 mL rounds to2.8 mL.
The nurse should administer 2.8 mL of aripiprazole injection.
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