What nursing intervention is appropriate for a 70-year-old female patient receiving lithium?
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- Monitor Fluid and Sodium Intake n n n n
A nurse is caring fora patient who is taking lithium for mania. The nurse’s assessment includes a
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notation of a lithium serum level of 2.4 mEq/L. The nurse anticipates seeing what?
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- clonic movements n
•serum levels of 2-2.5 mEq/L may produce ataxia, clonic movements, possible seizures
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and hypotension*
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The nurse administers chlorpromazine intramuscularly to the preoperative patient who is
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extremely anxious about surgery in the morning. What priority teaching point will the nurse
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provide this patient?
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- remain recumbent for at least 30 minutes after the injection
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*decreases the risk of injury if orthostatic hypotension occurs.
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The nurse is presenting an in-service at a children’s unit on hyperactivity. The nurse is told that
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a 6-year-old on the unit is being treated with methylphenidate (Ritalin), an amphetamine. The
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, presenting nurse talks about discharge teaching for this patient and the importance of monitoring
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what?
n
- weight and complete blood count
n n n n
n n n n n n n n n n n
- Monitor Fluid and Sodium Intake n n n n
A nurse is caring fora patient who is taking lithium for mania. The nurse’s assessment includes a
n n n n n n n n n n n n n n n n
notation of a lithium serum level of 2.4 mEq/L. The nurse anticipates seeing what?
n n n n n n n n n n n n n
- clonic movements n
•serum levels of 2-2.5 mEq/L may produce ataxia, clonic movements, possible seizures
n n n n n n n n n n n
and hypotension*
n n
The nurse administers chlorpromazine intramuscularly to the preoperative patient who is
n n n n n n n n n n
extremely anxious about surgery in the morning. What priority teaching point will the nurse
n n n n n n n n n n n n n n
provide this patient?
n n n
- remain recumbent for at least 30 minutes after the injection
n n n n n n n n n
*decreases the risk of injury if orthostatic hypotension occurs.
n n n n n n n n
The nurse is presenting an in-service at a children’s unit on hyperactivity. The nurse is told that
n n n n n n n n n n n n n n n n
a 6-year-old on the unit is being treated with methylphenidate (Ritalin), an amphetamine. The
n n n n n n n n n n n n n
, presenting nurse talks about discharge teaching for this patient and the importance of monitoring
n n n n n n n n n n n n n
what?
n
- weight and complete blood count
n n n n
