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 C

Explanation

C. This approach involves establishing clear and consistent rules and boundaries, which are crucial for managing antisocial behaviors. It helps to create a structured environment where the consequences of actions are predictable and reinforces the understanding of acceptable behaviors.
A. Encouraging the client to explore and address underlying emotions, including feelings of fear and inferiority, can be an important aspect of therapy and may help mitigate manipulative behaviors over time.
B. Antisocial personality disorder is associated with behaviors that violate social norms and the rights of others. Positive reinforcement for these behaviors would not address the underlying issues and may inadvertently reinforce harmful patterns of behavior.
D. Ignoring inappropriate behavior may reinforce the notion that manipulation is an effective means of achieving desired outcomes and may lead to further boundary violations.

A. Massage therapy B. Allopathic therapy C. Therapeutic Touch therapy D. Chiropractic therapy

Correct Answer is D

Explanation

D. Chiropractic therapy involves the manual manipulation of the spine to correct vertebral subluxations, which are misalignments or partial dislocations of the vertebrae. Chiropractors use specific techniques to adjust the spine, aiming to restore proper alignment, reduce nerve interference, and improve overall function.

A. Massage therapy can be beneficial for certain musculoskeletal issues and overall wellness but it typically does not involve the manipulation of vertebrae to correct subluxation.
B. Allopathic therapy refers to conventional Western medicine, which includes treatments such as pharmaceutical drugs, surgery, and other interventions aimed at treating diseases or symptoms. Allopathic medicine does not typically involve spinal manipulation for correcting subluxation.
C. Therapeutic Touch is a holistic therapy that involves the practitioner using their hands near the patient's body to detect and manipulate the body's energy field with the goal of promoting healing and relaxation. However, it does not involve direct manipulation of the vertebrae to correct subluxation.

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Naxlex Comprehensive Predictor Exams

The intervention appropriate for a client who has been manipulating others and has a diagnosis of antisocial personality disorder is to:

Correct Answer is C

Explanation

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, the practitioner is employing which therapy?

Correct Answer is D

Explanation

The nurse is caring for a client after an endoscopy. The client is lethargic and not responding to verbal commands. The priority nursing action is to:

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