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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will crush the tablet to make it easier to swallow.": Sustained-release tablets should not be crushed or chewed, as this alters the release mechanism.
B. "I will increase my daily intake of fiber and fluid.": Verapamil can cause constipation, so increasing fiber and fluid intake helps prevent this side effect.
C. "I will follow up with monthly laboratory tests to check for anemia.": Verapamil does not typically require monitoring for anemia.
D. "I will sit upright for 30 minutes after taking the medication.": This advice is more relevant for medications that can cause esophageal irritation, such as bisphosphonates, not verapamil.
Correct Answer is A
Explanation
A. "Take the medication on an empty stomach.": Rifampin is most effective when taken on an empty stomach to ensure better absorption.
B. "Discontinue the medication if your saliva turns orange.": This is a common side effect of rifampin, and the medication should not be discontinued due to this harmless effect.
C. "Return for another TB skin test in 3 months.": Follow-up skin tests are not necessary if the client is already undergoing treatment. The focus should be on medication adherence.
D. "You will need to take this medication for 1 week.": Rifampin is typically taken for several months (usually 6-9 months) to fully treat TB, not just for one week.
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