A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1"]

Step 1: Determine the dose per administration.

Total daily dose: 1.5 mg
Number of doses per day: 3
Dose per administration: 1.5 mg / 3 = 0.5 mg

Step 2: Calculate the number of tablets per dose.

Available tablet strength: 0.5 mg
Required dose per administration: 0.5 mg

Therefore, the nurse should administer 1 tablet per dose.

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Correct Answer is B

Explanation

A. Propranolol: Propranolol is a beta-blocker that can be used to treat physical symptoms of anxiety, such as a racing heart. While it may help reduce physiological symptoms, it does not address the psychological components of anxiety and is not commonly prescribed for acute anxiety episodes like test-taking anxiety. Propranolol is more effective for individuals with performance anxiety (e.g., public speaking).

B. Lorazepam: Lorazepam is a benzodiazepine that works by depressing the central nervous system, providing rapid relief of acute anxiety symptoms. It is often used for short-term management of anxiety and can effectively reduce symptoms such as racing heart and trembling hands, making it appropriate for episodic anxiety like test-taking anxiety. However, it is typically prescribed for short-term use due to its potential for dependence.

C. Sertraline: Sertraline is a selective serotonin reuptake inhibitor (SSRI) used for chronic anxiety and depression, but it is not effective for acute episodic anxiety. SSRIs are typically prescribed for long-term management of anxiety disorders, rather than immediate symptom relief.

D. Buspirone: Buspirone is an anxiolytic medication used for generalized anxiety disorder (GAD) but has a delayed onset of action and is not effective for acute, episodic anxiety relief. It is more suitable for long-term management rather than immediate symptom control.

A. Withhold the medication. B. Administer the next dose as prescribed. C. Prepare to administer propranolol. D. Plan to administer levothyroxine.

Correct Answer is A

Explanation

A. Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation.

B. Administering the next dose of lithium could worsen the toxicity, as these are early signs of lithium overdose.

C. Propranolol is used for controlling tremors or anxiety but does not address lithium toxicity.

D. Levothyroxine is used for thyroid dysfunction, which is not indicated by these symptoms.

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Naxlex Comprehensive Predictor Exams

A nursing student reports experiencing test-taking anxiety, including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?

Correct Answer is B

Explanation

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

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A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?