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 B

Explanation

B. Clients taking disulfiram should avoid all forms of alcohol, including alcoholic beverages such as beer, wine, and spirits. Consuming alcohol while taking disulfiram can lead to a severe and potentially life-threatening reaction known as the disulfiram-alcohol reaction.
A. Anchovies are not specifically contraindicated with disulfiram.
C. Grapefruit juice is not typically contraindicated with disulfiram.
D. Spinach is not specifically contraindicated with disulfiram. There is no known interaction between disulfiram and spinach.

A. Controlled anger B. Stable and satisfactory relationships C. Little tolerance for being alone D. Predictability

Correct Answer is C

Explanation

C. Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD, which include efforts to avoid real or perceived abandonment and a pattern of intense and unstable relationships.
A. Individuals with borderline personality disorder (BPD) often struggle with regulating their emotions, including anger. While they may experience intense emotions such as anger, they typically have difficulty controlling or expressing it in a healthy and adaptive manner.
B. Stable and satisfactory relationships: Stability in relationships is often a challenge for individuals with BPD. They may experience intense and unstable interpersonal relationships characterized by idealization and devaluation of others.
D. Predictability is generally lacking in individuals with BPD due to their emotional instability, impulsivity, and difficulty regulating their behaviors and responses to situations.

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Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to the client taking disulfiram. Which of the following items should the nurse teach the client to avoid?

Correct Answer is B

Explanation

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Correct Answer is C

Explanation

While talking to the school nurse, a child in third grade states, "My parents are away and I have not eaten for days. I am worried that my parents forgot about me and my little brother." The nurse would suspect what type of abuse?

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe?

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 with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. What is/are the most appropriate nursing intervention(s)? (SELECT ALL THAT APPLY)

A client who has just been raped arrives at the Emergency Room. The client is crying, pacing and cursing their attacker. Which is the priority therapeutic statement for the nurse to make?

The nurse is caring for a client who is experiencing mania. The client is pacing, cannot sit, and has pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?

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