A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

Blood glucose levels

Serum potassium levels

Serum lithium levels

Serum calcium levels.

Answer and Explanation

The Correct Answer is C

Serum lithium levels should be monitored regularly while taking this medication because lithium has a narrow therapeutic range and can cause toxicity if the levels are too high or ineffective if the levels are too low. The normal range for serum lithium levels is 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L).

Choice A is wrong because blood glucose levels are not affected by lithium and do not need to be monitored regularly.

Choice B is wrong because serum potassium levels are not affected by lithium and do not need to be monitored regularly.

Choice D is wrong because serum calcium levels are not affected by lithium and do not need to be monitored regularly.

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 ["A","C","D","E"]

Explanation

These are all possible signs ofneuroleptic malignant syndrome (NMS), a rare but serious adverse effect of risperidone and other antipsychotic medications.

NMS is a life-threatening condition that requires immediate medical attention.It is characterized by fever, muscle rigidity, altered mental status, autonomic instability and elevated creatine kinase levels.

Choice B is wrong because polyuria is not a common side effect of risperidone.Polyuria can be caused by other conditions such as diabetes mellitus, diabetes insipidus or diuretic use.

Normal ranges for vital signs and laboratory values are as follows:

• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F)

• Heart rate: 60 to 100 beats per minute

• Blood pressure: 120/80 mm Hg or lower

• Respiratory rate: 12 to 20 breaths per minute

• Oxygen saturation: 95% or higher

• Creatine kinase: 22 to 198 U/L for males and 10 to 171 U/L for females

A. Discontinue the medication immediately. B. Increase the dose of the medication. C. Encourage the patient to continue taking the medication as prescribed. D. Administer a stimulant medication.

Correct Answer is C

Explanation

This is because fatigue is a common side effect of SNRIs (serotonin and norepinephrine reuptake inhibitors) that usually improves over time.SNRIs are a type of antidepressant that work by correcting chemical imbalances of neurotransmitters in the brain.

Choice A is wrong because Discontinue the medication immediately is wrong because abruptly stopping an SNRI can cause withdrawal symptoms such as nausea, headache, and dizziness.

The patient should consult with their provider before stopping or changing their medication.

Choice B is wrong because Increase the dose of the medication is wrong because increasing the dose of an SNRI can increase the risk of adverse effects such as high blood pressure, anxiety, and sexual dysfunction.

The patient should follow the prescribed dose and not adjust it without medical advice.

Choice D is wrong because Administer a stimulant medication is wrong because stimulant medications can interact with SNRIs and cause serious problems such as serotonin syndrome, which is a potentially life-threatening condition characterized by agitation, confusion, fever, and muscle rigidity. The patient should avoid taking any other medications without consulting their provider.

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 with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A patient has been prescribed an SNRI for depression and reports feeling more fatigued since starting the medication. The nurse should:

Correct Answer is C

Explanation

A nurse is caring for a client who has been taking lorazepam (Ativan) for anxiety and insomnia for several months. The client tells the nurse that he wants to stop taking the medication because he feels better now. Which of the following responses should the nurse give?

A nurse is providing discharge teaching to a client who has a new prescription for phenelzine for depression. Which of the following foods should the nurse instruct the client to avoid while taking this medication? (Select all that apply.).

A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

A patient has been prescribed an SSRI for depression and reports feeling more anxious since starting the medication. The nurse should:

A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

A nurse is caring for a client who has bipolar disorder and is prescribed lamotrigine (Lamictal). Which of the following instructions should be included in the teaching? (Select all that apply.)