A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Urinary retention

Dizziness

Decreased appetite

Hypertension

Answer and Explanation

The Correct Answer is B

A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.

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Free Nursing Study Resources

Correct Answer is ["0.7"]

Explanation

Convert client’s weight from ponds to kgs: 152/2.2 = 69.1 kg

Calculate the total dose in mg: 1.5 x 69.1 = 103.65 mg

Determine the volume of enoxaparin to administer: 103.65/120 x 0.8 = 0.7 mL

A. Use the Z-track technique to administer the medication. B. Administer the medication with a 27-gauge 1/2-inch needle. C. Inject the medication at least 5 cm (2 in) from the umbilicus. D. Give the medication without aspirating prior to injection.

Correct Answer is A

Explanation

A. Use the Z-track technique to administer the medication.: The Z-track technique prevents irritation by sealing the medication within the muscle tissue.
B. Administer the medication with a 27-gauge 1/2-inch needle.: IM injections require a longer needle, typically 1–1.5 inches, and a larger gauge, such as 21–25.
C. Inject the medication at least 5 cm (2 in) from the umbilicus.: This is relevant for subcutaneous injections, not IM injections.
D. Give the medication without aspirating prior to injection.: Aspiration is not always required for IM injections but is often practiced for safety when administering certain medications.

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A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.7"]

Explanation

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