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 B
Explanation
A. Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.
Correct Answer is A
Explanation
A. Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.
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