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QUESTIONS AND CORRECT ANSWERS|AGRADE
A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is 2.1
mq/L.
Which of the following is an appropriate action by the nurse?
A. Perform immediate gastric lavage.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test
ANSWER-A. Perform immediate gastric lavage.
(Gastric lavage is appropriate for a client who has severe toxicity, as evidenced by a plasma
lithium level
of 2.1 mEq/L. This action will lower the client's lithium level.)
A nurse is caring for a client who has a new prescription for Lithium Carbonate. When teaching
the client
about ways to prevent Lithium toxicity, the nurse should advise the client to do which of the
following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
C. Decrease fluid intake to less than 1,500 mL daily
D. Limit aerobic activity in hot weather
ANSWER-D. Limit aerobic activity in hot weather
(The client should avoid activities that have the potential to cause sodium/water depletion,
which can
,increase the risk for toxicity)
A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar disorder.
The
nurse should recognize which of the following findings as a possible indication of toxicity to this
medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasm
ANSWER-B. Coarse tremors
A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse should
instruct the
client that while taking this medication he will need to have which of the following laboratory
tests
completed periodically? (Select all that apply.)
A. Thrombocyte count
B. Hematocrit
C. Amylase
D. Liver function tests
E. Potassium
C. Amylase
D. Liver function tests
ANSWER-A. Thrombocyte count
, A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a new
prescription
for Carbamazepine. Which of the following instructions should the nurse include in the
teaching? (Select
all that apply.)
A. "This medication can safely be taken during pregnancy."
B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication.
ANSWERS
B. "Eliminate grapefruit
juice from your diet."
C. "You will need to have a complete blood count and carbamazepine levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication.
A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects
of
Fluphenazine. Which of the following should the nurse suggest to the client to minimize
anticholinergic
effects?
A. Take the medication in the morning to prevent insomnia.
B. Chew sugarless gum to moisten the mouth.
C. Use cooling measures to decrease fever.
D. Take an antacid to relieve nausea
ANSWER-B. Chew sugarless gum to moisten the mouth.