A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
Take her blood pressure twice a day to check for hypertension.
Have her drug blood level checked every month.
Avoid aged cheese and red wine.
Examine her skin closely for eruptions.
The Correct Answer is B
A. Take her blood pressure twice a day to check for hypertension. Lithium does not typically cause hypertension. Monitoring blood pressure is not a primary concern for patients on lithium.
B. Have her drug blood level checked every month. Regular monitoring of lithium blood levels is crucial to ensure therapeutic levels and avoid toxicity. Lithium has a narrow therapeutic window, and frequent monitoring helps in adjusting the dose to maintain safe and effective levels.
C. Avoid aged cheese and red wine. This advice is relevant for patients taking MAOIs, not lithium. There is no need for patients on lithium to avoid these foods specifically.
D. Examine her skin closely for eruptions. While skin eruptions can be a side effect of some medications, it is not a primary concern for patients on lithium. The focus should be on monitoring for signs of lithium toxicity and other common side effects like tremors, thyroid dysfunction, and renal impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A 12-step program: The foundation of Alcoholics Anonymous is its 12-step program, which guides individuals through the process of recovery.
B. Individual counseling: While individual counseling can be part of recovery, it is not the foundation of AA.
C. Treatment center: AA is not a treatment center but a fellowship and support group that meets in various locations.
D. Psychotherapy: Psychotherapy is a treatment modality but is not the foundation of AA, which is based on peer support and the 12-step program.
Correct Answer is C
Explanation
A. A wellness of attitude: While a positive attitude can be a component of mental health, it does not fully encompass the concept.
B. A person's re
A. A wellness of attitude: While a positive attitude can be a component of mental health, it does not fully encompass the concept.
B. A person's response to disease and dysfunction: This focuses more on mental illness and does not define mental health itself.
C. The ability to cope and adjust to everyday stresses: Mental health is defined by the ability to cope with and adjust to everyday stresses and challenges, indicating resilience and adaptability.
D. How the person performs activities of daily living: This relat es more to functional status and physical health rather than mental health specifically.
sponse to disease and dysfunction: This focuses more on mental illness and does not define mental health itself.
C. The ability to cope and adjust to everyday stresses: Mental health is defined by the ability to cope with and adjust to everyday stresses and challenges, indicating resilience and adaptability.
D. How the person performs activities of daily living: This relates more to functional status and physical health rather than mental health specifically.
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