An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled "Ativan" and one labeled "lorazepam," both of which are to be taken BID. There are also bottles labeled "hydrochlorothiazide,"
"Inderal," and "rofecoxib," each to be taken once daily. Which conclusion is accurate?
a. Rofecoxib should not be taken with Ativan.
b. Lorazepam interferes with the action of Inderal.
c. The patient should not self-administer medication.
d. Lorazepam and Ativan are the same drug, so the dose is excessive.
ANS: D
Lorazepam and Ativan are generic and trade names for the same drug, creating an accidental misuse situation. The patient needs medication education and help with proper, consistent labeling of bottles; there is no evidence that the patient cannot self-administer medication. The other distracters are not factual statements.
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