Nokea
A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
Correct Answer: C
Rationale: The correct medication to anticipate for this patient is a benzodiazepine, such as lorazepam (Ativan).
Rationale:
1. Benzodiazepines are commonly used to treat acute agitation and anxiety in patients, which is present in this case.
2. Lorazepam has a rapid onset of action and can help calm the patient quickly.
3. It can help manage the patient's perception of the window blinds as snakes and reduce agitation.
4. Benzodiazepines are safer for patients with alcohol intoxication compared to other sedatives or antipsychotics.
Summary of Incorrect Choices:
A: Monoamine oxidase inhibitors are not typically used for acute agitation and anxiety. They have a slower onset of action and are not first-line for this situation.
B: Phenothiazines may worsen the patient's condition due to their potential side effects like sedation and hypotension.
D: Narcotic analgesics are not appropriate for managing anxiety or agitation