When educating a patient about Lorazepam (Ativan), the nurse should advise against the concurrent use of which substance?
Vitamin C supplements
Caffeinated beverages
Alcohol
Dairy products
The Correct Answer is C
Choice A reason: Vitamin C supplements are not a concern for the concurrent use with Lorazepam, which is a medication that reduces anxiety and insomnia by enhancing the effects of a neurotransmitter called gammaaminobutyric acid (GABA) in the brain¹. Vitamin C is an essential nutrient that supports the immune system and the synthesis of collagen, a protein that forms the connective tissue in the body. Vitamin C does not interact with Lorazepam or affect its metabolism or clearance.
Choice B reason: Caffeinated beverages are not a concern for the concurrent use with Lorazepam, but they may reduce its effectiveness or cause unwanted effects. Caffeine is a stimulant that increases the activity of the central nervous system and counteracts the sedative and calming effects of Lorazepam. Caffeine may also cause side effects such as nervousness, insomnia, or palpitations, especially in high doses or in sensitive individuals. The nurse should advise the patient to limit or avoid caffeine intake while taking Lorazepam, and to monitor their response to the medication.
Choice C reason: Alcohol is a concern for the concurrent use with Lorazepam, as it can increase the risk of serious and potentially fatal side effects. Alcohol is a depressant that slows down the activity of the central nervous system and enhances the effects of Lorazepam. Alcohol can cause additive effects such as excessive sedation, respiratory depression, coma, or death when taken with Lorazepam. The nurse should advise the patient to avoid alcohol consumption while taking Lorazepam, and to seek immediate medical attention if they experience any signs of overdose or toxicity.
Choice D reason: Dairy products are not a concern for the concurrent use with Lorazepam, as they do not affect its absorption, distribution, metabolism, or excretion. Dairy products are a source of calcium, protein, and other nutrients that support the bone health and the muscle function. Dairy products do not interact with Lorazepam or alter its pharmacokinetics or pharmacodynamics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is incorrect. SQ (subcutaneous) administration involves injecting a drug into the fatty tissue under the skin. This route is slower than IV or IM administration, as the drug has to diffuse through the tissue before reaching the bloodstream.
Choice B reason: This is incorrect. PO (by mouth) administration involves swallowing a drug and absorbing it through the digestive system. This route is the slowest of all, as the drug has to pass through the stomach and the liver before reaching the bloodstream. The drug may also be affected by the first pass effect, which reduces its bioavailability.
Choice C reason: This is correct. IV (intravenous) administration involves injecting a drug directly into a vein. This route is the fastest of all, as the drug enters the bloodstream immediately and reaches the target site quickly. The drug also has 100% bioavailability, meaning none of it is lost or degraded.
Choice D reason: This is incorrect. IM (intramuscular) administration involves injecting a drug into a muscle. This route is faster than SQ or PO administration, as the drug can be absorbed by the capillaries in the muscle. However, it is still slower than IV administration, as the drug has to cross the muscle membrane before reaching the bloodstream.
Correct Answer is ["A","C","D","E","F"]
Explanation
The correct answer is: a. Right route, c. Right dose, d. Right person, e. Right documentation, f. Right medication.
Choice A: Right route
The right route ensures that the medication is administered via the correct method, such as oral, intravenous, or intramuscular. This is crucial because different routes can affect the medication’s absorption and effectiveness. Administering medication via the wrong route can lead to ineffective treatment or even harm the patient.
Choice B: Right to refuse
While patients do have the right to refuse medication, this is not one of the five main rights of medication administration. The five main rights focus on the correct administration process to ensure patient safety and effective treatment.
Choice C: Right dose
The right dose ensures that the patient receives the correct amount of medication. Administering too much or too little can lead to adverse effects or ineffective treatment. This right involves verifying the prescribed dose and measuring it accurately.
Choice D: Right person
The right person ensures that the medication is given to the correct patient. This is typically verified using two identifyers, such as the patient’s name and date of birth, to prevent medication errors.
Choice E: Right documentation
The right documentation involves accurately recording the administration of the medication. This includes noting the time, dose, route, and any observations. Proper documentation is essential for maintaining accurate medical records and ensuring continuity of care.
Choice F: Right medication
The right medication ensures that the correct drug is given to the patient. This involves checking the medication label against the doctor’s order to prevent errors. Administering the wrong medication can have serious consequences.
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