An older adult patient brings a bag of medication to the clinic. The nurse finds one bottle labeled "Ativan" and one labeled "lorazepam," and both are labeled "Take two times daily."
Bottles of hydrochlorothiazide, Inderal, and rofecoxib, each labeled "Take one daily," are also included. Which conclusion is accurate?
a. Rofecoxib should not be taken with Ativan.
b. The patient's blood pressure is likely to be very high.
c. This patient should not self-administer any medication.
d. Lorazepam and Ativan are the same drug; consequently, 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; no evidence suggests that the patient cannot self-administer medication. The distracters are not factual statements.
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