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A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?

A.

Take her blood pressure twice a day to check for hypertension.

B.

Have her drug blood level checked every month.

C.

Avoid aged cheese and red wine.

D.

Examine her skin closely for eruptions.

Answer and Explanation

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.
 


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Related Questions

Correct Answer is C

Explanation

A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.

Correct Answer is A

Explanation

A. Early recognition is essential to treat the disorder: Early recognition of herpes zoster is crucial to start antiviral therapy and reduce the risk of complications such as postherpetic neuralgia.

B. Oral ulcers could prevent intake of adequate fluids. This does not apply to herpes zoster, as the vesicles are usually not found in the mouth.

C. Prompt notification prevents sexual transmission. Herpes zoster is not sexually transmitted; it is caused by reactivation of varicella zoster virus.

D. Early administration of the varicella vaccine is needed. The varicella vaccine is not used to treat herpes zoster but rather to prevent chickenpox.

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