The nurse transcribes an order for lorazepam for a patient ...

[karen]

The nurse transcribes an order for lorazepam for a patient experiencing nausea and vomiting as a result of alcohol withdrawal. The most appropriate route of administration for lorazepam with this patient would be
 
  a. by mouth.
  b. rectally.
  c. intramuscularly.
  d. subcutaneously.

Question 2

A female patient is admitted to the adult psychiatric floor with a diagnosis of generalized anxiety disorder. Anxiolytic medications and group therapy have been prescribed.
 
  Evaluation of therapeutic outcomes related to her acute stay can be measured by which assessment(s)? (Select all that apply.)
  a. She is able to sleep 5 hours during the night.
  b. The tremor and pacing she exhibited on admission are reduced.
  c. She is able to attend and actively participate in group sessions.
  d. She is eating only 10 of her meals.
  e. She complains of chest pain before group therapy.

[dudman123]

Answer to Question 1

ANS: C
The use of lorazepam is somewhat limited for use with symptoms of alcohol withdrawal for those who cannot tolerate oral administration because of nausea and vomiting. The most appropriate route in this situation would be intramuscularly.

Answer to Question 2

ANS: A, B, C
A primary therapeutic outcome expected from antianxiety therapy agents is a decreased level of anxiety to a manageable level with the ability to get adequate rest and nourishment, a decrease or elimination of somatic complaints, and active and appropriate participation in group therapy. Improved appetite would be a sign of decreased anxiety. Chest pain may be an example of somatization, especially when experienced during emotionally stressful times, such as group therapy.

[karen]

TYSM

[elyse44]

Excellent