A client asks a nurse about the need to alter any activities because of taking lithium. Which response would be most appropriate?

No changes are necessary for strenuous activities you do outdoors.

Wear sunscreen when you are going to be outdoors in the summer.

Increase your fluid intake if an activity causes you to perspire heavily.

Drink less fluid than usual now that you are taking this drug.

Answer and Explanation

The Correct Answer is C

Choice A reason: Strenuous outdoor activities increase dehydration risk with lithium, which has a narrow therapeutic index and affects renal sodium handling. No changes are unsafe, as dehydration elevates lithium levels, risking toxicity via neuronal and renal sodium-potassium ATPase disruption.

Choice B reason: Sunscreen is unrelated to lithium’s mechanism, which stabilizes mood via sodium channel modulation and inositol depletion. Lithium does not cause photosensitivity, and this advice does not address the critical risk of dehydration impacting renal lithium clearance.

Choice C reason: Lithium’s renal excretion depends on hydration, as it disrupts sodium-potassium ATPase, risking toxicity with dehydration. Increased fluid intake during heavy perspiration prevents elevated lithium levels, protecting neuronal and renal function, making this the most appropriate response.

Choice D reason: Reducing fluid intake increases lithium toxicity risk by decreasing renal clearance. Lithium’s effect on sodium-potassium ATPase heightens neuronal and renal sensitivity to dehydration, potentially causing toxic levels, making this advice dangerous and inappropriate for safe lithium use.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Providing resources and legal assistance is practical but secondary in crisis intervention. Intimate partner violence triggers amygdala-driven fear and cortisol surges, requiring immediate emotional stabilization to restore prefrontal cortex regulation before addressing long-term resources.

Choice B reason: Emotional growth is a long-term goal, not the focus of acute crisis intervention. Violence-induced stress heightens amygdala activity and cortisol, needing immediate stabilization of emotional security to restore neural equilibrium, not developmental growth.

Choice C reason: Crisis intervention prioritizes emotional security and equilibrium, reducing amygdala-driven fear and cortisol surges from violence. Supporting prefrontal cortex regulation restores coping capacity, addressing the immediate neurochemical and emotional impact of the crisis effectively.

Choice D reason: Long-term resolution is not the focus of acute crisis intervention, which targets immediate stabilization. Violence causes acute amygdala hyperactivity and cortisol release, requiring short-term emotional security, not prolonged resolution of underlying issues, which comes later.

A. You need to learn how to be less assertive in your communications. B. Anger is positive when you learn to suppress it. C. Anger is a normal feeling, and you can use it to resolve conflicts. D. You can reduce your anger by punching the wall.

Correct Answer is C

Explanation

Choice A reason: Less assertiveness does not address anger’s neurobiology. Anger involves amygdala-driven norepinephrine and glutamate surges, and reducing assertiveness may suppress healthy expression, not resolve underlying neural hyperactivity, making this statement inaccurate for anger management.

Choice B reason: Suppressing anger is not positive, as it increases amygdala-driven stress and cortisol, potentially worsening emotional dysregulation. Healthy anger expression engages prefrontal cortex modulation, and suppression can exacerbate neural imbalances, making this statement false.

Choice C reason: Anger is a normal emotion, driven by amygdala activation and norepinephrine release. When channeled constructively, it engages prefrontal cortex regulation, facilitating conflict resolution by addressing underlying issues, making this a true and therapeutic statement about anger’s role.

Choice D reason: Punching a wall is destructive, escalating amygdala-driven aggression and norepinephrine surges without resolving conflict. It risks reinforcing maladaptive neural pathways, increasing impulsivity, and does not engage prefrontal cortex for healthy anger management, making this false.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client asks a nurse about the need to alter any activities because of taking lithium. Which response would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on what?

Correct Answer is C

Explanation

A nurse is working with a client who has frequent angry outbursts when he becomes frustrated. Which statement by the nurse is a true statement about anger?

Correct Answer is C

Explanation

A patient diagnosed with schizophrenia has auditory hallucinations, delusions of grandeur, poor personal hygiene, and threatening behavior. Which assessment finding would the nurse regard as a negative symptom of schizophrenia?

Which patient meets the criteria for hospice services?

Which client best exhibits the characteristics that are typical of the prodromal period of schizophrenia?

A nurse is assessing a client who is grieving. The nurse suspects that the client is experiencing complicated bereavement based on which statement by the client?

A client is suspected to have dissociative identity disorder. Which characteristic does the nurse identify that the disturbed personal identity is most likely related to?

Which central nervous system structure is associated with anger and aggression?

A nurse is preparing to administer lactated Ringer's 100 mL IV over 15 minutes. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round to the nearest whole number.)

A nurse is reviewing the medical record of a client diagnosed with depression and notes that the client has been prescribed bupropion (Wellbutrin). The client asks, "What kind of medication is this anyway?" The nurse would inform the client this agent is a: