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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:A suicide in a mental health facility is a traumatic event for staff, who may experience guilt, grief, or burnout. Providing professional counseling as the priority intervention supports staff mental health, enabling them to process the event, maintain their well-being, and continue providing safe, effective care to other clients.
Choice B reason:Supporting the family’s emotional needs is important, but it is not the immediate priority. Staff must first address their own psychological well-being to ensure they can provide compassionate and professional support to the family and other clients effectively.
Choice C reason:Reviewing the client’s behavior for missed warning signs is valuable for learning and improving future care. However, this retrospective analysis is not the immediate priority, as it does not address the urgent emotional needs of staff following the traumatic event.
Choice D reason:Updating observation policies could enhance future suicide prevention, but it is not the immediate priority. Policy changes require time and analysis, whereas supporting staff mental health is critical to maintaining unit functionality and safety in the aftermath of the incident.
Correct Answer is A
Explanation
Choice A reason:Sublimation is a defense mechanism where negative emotions, like anger, are channeled into positive or socially acceptable activities, such as exercise. Working out in the gym when feeling mad transforms the emotion into a constructive outlet, reflecting adaptive use of sublimation.
Choice B reason:Forgetting the event suggests repression or dissociation, not sublimation. This response does not involve channeling emotions into productive activities and is not adaptive for addressing anxiety.
Choice C reason:Denying anxiety indicates denial, not sublimation. This statement avoids acknowledging the emotion rather than redirecting it into a positive action, making it non-adaptive.
Choice D reason:Expressing inability to move past the tragedy reflects rumination or despair, not sublimation. It does not involve transforming negative emotions into constructive behaviors, so it is not an adaptive response.
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