A client prescribed lithium carbonate 300 mg twice daily 3 months ago comes to the Emergency Department with nausea, diarrhea, muscle weakness, and coarse tremors. They notified the provider that they have had flu like symptoms and have not been able to eat or drink. The nurse suspects the client is exhibiting signs of:

toxicity from the lithium carbonate.

developing a tolerance to the lithium carbonate.

stopping their prescribed lithium carbonate.

consuming foods high in tyramine while taking lithium carbonate.

Answer and Explanation

The Correct Answer is A

A. Lithium carbonate is a medication commonly used to treat bipolar disorder. Symptoms of lithium toxicity can include nausea, vomiting, diarrhea, muscle weakness, tremors, and flu-like symptoms. If a client is experiencing these symptoms after taking lithium carbonate, it could indicate lithium toxicity
B. Lithium is a mood stabilizer, and tolerance, in the sense of needing increasing doses to achieve the same effect, is not commonly observed.
C. Suddenly stopping lithium carbonate can lead to withdrawal symptoms, but the symptoms described— nausea, diarrhea, muscle weakness, and tremors—are more indicative of toxicity rather than withdrawal.
D. Tyramine is a compound found in certain foods and beverages, and interactions between tyramine-rich foods and certain medications, such as monoamine oxidase inhibitors (MAOIs), can lead to hypertensive crises. However, lithium carbonate is not known to have interactions with tyramine-rich foods.

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Correct Answer is D

Explanation

D. Histrionic personality disorder (HPD) is characterized by a pattern of excessive emotionality and attention-seeking behavior. Individuals with HPD often display dramatic, flamboyant, or exaggerated emotions and may use seductive or provocative behavior to capture the attention of others.
A. Histrionic personality disorder (HPD) is characterized by attention-seeking behavior, emotional instability, and a strong desire for excitement and novelty. They are less likely to be preoccupied with minute details or exhibit perfectionistic traits, which are more commonly associated with obsessive- compulsive personality disorder (OCPD).
B. Grandiosity, self-importance, and a sense of entitlement are characteristic features of narcissistic personality disorder (NPD), not histrionic personality disorder (HPD).
C. Difficulty being alone, indecisiveness, and submissiveness are more commonly associated with dependent personality disorder (DPD), not histrionic personality disorder (HPD).

A. Insert a nasogastric tube B. Monitor airway and vital signs C. Insert an indwelling urinary catheter or monitor output D. Anticipate and treat hyperpyrexia with cooling measures

Correct Answer is B

Explanation

B. Naloxone administration can rapidly reverse the effects of opioids, potentially leading to the rapid onset of opioid withdrawal symptoms, which may include respiratory depression. Therefore, close monitoring of the client's airway, respiratory rate, oxygen saturation, blood pressure, and heart rate is critical to ensure their safety and stability.
A. Assessing and managing the client's gastrointestinal status may be necessary depending on the clinical situation but it is not the most urgent concern immediately following naloxone administration.
C. Assessing urinary output and ensuring adequate fluid balance is important. However, it is not the highest priority immediately after naloxone administration.
D. Hyperpyrexia, or extremely high fever, is not a common immediate concern following naloxone administration.

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Naxlex Comprehensive Predictor Exams

The nurse is scheduled to interview a client with histrionic personality disorder. The nurse can anticipate that the assessment findings will include the following. The client:

Correct Answer is D

Explanation

The nurse is caring for a client who just received naloxone. Which nursing intervention is highest priority?

Correct Answer is B

Explanation

The nurse is admitting a client who has osteoarthritis. Which information obtained by the nurse indicates a need for client teaching? The client:

An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected?

A client plans to go to an acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works. The most accurate response would be "Acupuncture is a traditional Chinese medical treatment. The Chinese believe that:

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The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

A client diagnosed with bipolar disorder is experiencing a severe depressive episode. Which client behavior would alert the nurse to the highest priority intervention? The client:

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?