A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?

Dry cough

Elevated blood pressure

Stooped posture

Slurred speech

Answer and Explanation

The Correct Answer is D

A. Dry cough: This is not typically associated with lithium toxicity and may indicate another issue, such as a respiratory infection.
B. Elevated blood pressure: Lithium toxicity usually results in hypotension, not elevated blood pressure.
C. Stooped posture: This is not a typical sign of lithium toxicity.
D. Slurred speech: Slurred speech can be an early sign of lithium toxicity, indicating that the medication level is too high.

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Correct Answer is D

Explanation

A. Coagulation studies: Hydrochlorothiazide does not typically affect coagulation parameters, making this unnecessary for routine monitoring.
B. Thyroid levels: Hydrochlorothiazide does not interfere with thyroid function.
C. Complete blood count: Although monitoring general blood health is important, hydrochlorothiazide primarily affects electrolytes.
D. Serum electrolyte levels: Hydrochlorothiazide is a diuretic that can cause electrolyte imbalances, including hypokalemia, hyponatremia, and hypercalcemia. Regular monitoring is essential.

A. Urinary retention B. Dizziness C. Decreased appetite D. Hypertension

Correct Answer is B

Explanation

A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

Body System	Findings
Vital Signs/General History	Temperature 35.4 °C (97.6 °F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74 mmHg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week.
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client has varicose veins.
Cardiovascular/Respiratory	S1S2 auscultated. No murmurs. All peripheral pulses 2+. Lung sounds clear bilaterally.
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odorless. Last menstrual period was 3 months ago.
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities.

A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

Correct Answer is D

Explanation

A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has a prescription for sildenafil to treat erectile dysfunction. Which of the following statements by the client indicates an understanding of the teaching?

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