A patient has been prescribed lorazepam (Ativan), a benzodiazepine used to treat insomnia. Which action will the nurse take?
a. Advise the patient to take the medication with food.
b. Assess the patient's blood pressure in sitting and lying positions.
c. Inform the patient to discontinue the medication once sleep improves.
d. Instruct the patient to lie down before taking the medication.
ANS: B
Measuring blood pressure in sitting and lying positions is important to assess for transient hypotension. Ativan does not have to be taken with food. Rapid discontinuance of the medication after long-term use may result in symptoms similar to those of alcohol withdrawal. Gradual withdrawal of benzodiazepines is over 2 to 4 weeks. Medications should be taken sitting up.
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