The nurse is preparing to administer intravenous lorazepam (Ativan) to a client. Which nursing intervention is a priority following the parenteral administration of this medication?
1. Assess for drug interactions with other medications.
2. Instruct client to change positions slowly, especially from lying to standing.
3. Monitor for changes in respirations.
4. Assess for seizure activity.
Correct Answer: 3
Rationale 1: Assessing for drug interactions with other medications should be completed prior to administering the medication.
Rationale 2: Changing position slowly, especially from lying down to standing, helps to prevent dizziness and possible falls, especially in the older adult. However, this is not the priority intervention when administering the medication.
Rationale 3: When providing this medication through the parenteral route, the client should be monitored for respiratory depression.
Rationale 4: Ativan is used for several off-label indications, including seizures. However, this is not the priority intervention when administering the medication.
Global Rationale: When providing this medication through the parenteral route, the client should be monitored for respiratory depression. Assessing for drug interactions with other medications should be completed prior to administering the medication. Changing position slowly, especially from lying down to standing, helps to prevent dizziness and possible falls, especially in the older adult. However, this is not the priority intervention when administering the medication. Ativan is used for several off-label indications, including seizures. However, this is not the priority intervention when administering the medication.
You might also like to view...
During the second and third trimesters of pregnancy, the nurse would advise a pregnant client with diabetes that her needs for insulin will:
A) decrease B) increase C) remain the same D) fluctuate greatly
Jeff, an RN in his 30s, has lost a parent, just purchased a new home, and is laid off with 6 months' severance pay. At the same time, Jerry, an RN in his 50s, is financially secure and is asked to take early retirement with a buyout
How will the two men react to the emotional and physical influences and the sequence of stress? a. The younger man will feel more stress. b. The two men may or may not feel the same amount of stress. c. The older man will feel more stress. d. Neither man will experience any stress.
A patient is undergoing surgery for an appendectomy. This would be considered what type of surgery?
A) Emergency surgery B) Elective surgery C) Palliative surgery D) Diagnostic surgery
Explanation: A) Morbidity is defined as a departure from physiologic or psychologic well-being and encompasses disease, injury, and disability. B) Mortality is defined as the number of deaths in a given population. C) Disability-adjusted life-years (DALYs) are defined as the years of potential life lost due to premature mortality and the years of productive life lost due to disability for people
living with the health condition or its sequelae. D) Prevalence is the number of individuals of a defined population who already have a disease or condition. A) People should know their family health history. B) All people should have genetic testing done. C) Genetic testing determines what diseases a person will develop. D) All diseases have a genetic basis.