A patient with a history of anxiety disorder is prescribed lorazepam at a dosage of 1 mg to be administered every 8 hours as needed. If the patient has already received 2 doses today, what is the maximum additional dosage they can safely receive within the same day?
3 mg.
2 mg.
0 mg.
The Correct Answer is C
Choice A reason: A 3 mg additional dose would exceed the prescribed limit. The prescription allows for 1 mg every 8 hours as needed, up to a maximum of 3 mg in a 24-hour period (one dose every 8 hours). Since the patient has already received 2 mg (two 1 mg doses), an additional 3 mg would result in a total of 5 mg, which is unsafe and exceeds the prescribed daily limit.
Choice B reason: A 2 mg additional dose would also exceed the prescribed limit. With 2 mg already taken, an additional 2 mg would total 4 mg in a day, surpassing the maximum of 3 mg allowed by the prescription (1 mg every 8 hours, up to three doses).
Choice C reason: The patient has already received 2 mg (two 1 mg doses) today. The prescription allows for 1 mg every 8 hours as needed, which permits a maximum of 3 mg in 24 hours. With two doses already administered, only one additional 1 mg dose is safe, but none of the options list 1 mg. Therefore, 0 mg is the correct answer, as no additional dose beyond the remaining 1 mg is permissible among the given choices.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Offering medication immediately does not address the client’s emotional state and undermines the use of therapeutic communication, which is the first-line intervention for moderate anxiety.
Choice B reason: This response is generic and educational, which is not appropriate in a crisis moment. The client needs immediate support and de-escalation.
Choice C reason: This response is inappropriate and harmful, suggesting a restraint that is not indicated and would likely worsen the client’s distress.
Choice D reason: This is the best therapeutic response. It provides a safe environment for the client to express feelings and decreases external stimuli, helping to reduce anxiety.
Correct Answer is D
Explanation
Choice A reason:Citing personal reasons, such as needing to get home to family, is unprofessional and shifts focus away from the client’s needs. It does not address the client’s request or provide a constructive solution, making it an inappropriate response.
Choice B reason:Offering to do whatever the nurse can to help is vague and could imply willingness to perform prohibited tasks like shopping. This response risks crossing professional boundaries and is not appropriate.
Choice C reason:Suggesting the client wait for days when they feel better dismisses their current fatigue and inability to shop. It fails to offer immediate support or solutions, which is not helpful for an older adult needing assistance.
Choice D reason:Proposing to explore other resources, such as community services or family support, is appropriate because it respects the nurse’s professional boundaries while addressing the client’s needs. This response empowers the client by connecting them with sustainable solutions.
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