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    RN HESI Pharmacology Proctored Exam 3

    A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?

    Explanation & Rationale

    A. Use relaxation techniques to reduce excessive anxiety: This statement is appropriate as combining relaxation techniques with pharmacological treatment can help manage anxiety symptoms more effectively. Encouraging non-pharmacological strategies is a good complement to medication. B. Avoid alcohol and other sedatives while taking the medication: This statement is accurate and crucial. Lorazepam is a benzodiazepine, and combining it with alcohol or other sedatives can increase the risk of severe sedation, respiratory depression, and other dangerous side effects. Avoiding these substances is essential for safety. C. Stop taking the medication if the intended effect is not immediate: This statement indicates a misunderstanding of how lorazepam works. Lorazepam, like other benzodiazepines, typically provides relief from anxiety symptoms relatively quickly, but it may take some time for optimal effects to be felt. Abruptly stopping the medication without consulting a healthcare provider can lead to withdrawal symptoms and other complications. The client should be advised to continue the medication as prescribed and consult with their healthcare provider if there are concerns about its effectiveness. D. Move slowly from a sitting position to a standing position: This recommendation is important because lorazepam can cause dizziness or orthostatic hypotension. Moving slowly helps to prevent falls and minimize the risk of injury related to sudden changes in position.

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