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","B","C","E"]
Explanation
Choice A reason: Validating the client’s feelings is essential in crisis intervention because it communicates empathy and understanding, reducing the client’s distress.
Choice B reason: Identifying the cause of anxiety helps target the intervention plan and ensures the nurse addresses underlying triggers.
Choice C reason: Establishing rapport builds trust, which is vital for the client to feel supported and safe during a crisis.
Choice D reason: Avoiding eye contact is non-therapeutic and can be interpreted as avoidance or disinterest, worsening the client’s anxiety.
Choice E reason: A flexible crisis intervention plan allows adjustments based on the client’s immediate needs, ensuring care is individualized and effective.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Maintaining adequate and consistent sleep helps regulate mood and prevent manic or depressive episodes. Avoiding naps can improve nighttime sleep quality.
Choice B reason: Excessive exercise multiple times a day may increase risk of exhaustion and even trigger mania in bipolar disorder. Moderation is key.
Choice C reason: Using positive mental imagery, such as recalling a pleasant vacation, is a healthy cognitive coping strategy to manage anxiety.
Choice D reason: A positive outlook (optimism) is a strong protective coping mechanism that enhances resilience and stress management in individuals with mood disorders.
Choice E reason: Progressive muscle relaxation is an evidence-based relaxation technique that reduces anxiety, promotes calmness, and decreases tension.
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