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

Slurred speech

Stooped posture

Elevated blood pressure

Dry cough

Answer and Explanation

The Correct Answer is A

A.   Slurred speech can be a symptom of lithium toxicity. As lithium levels rise in the blood, it can affect neurological function, leading to symptoms such as confusion, drowsiness, tremors, and slurred speech.
B.   Stooped posture is not typically associated with lithium toxicity. It is more commonly associated with musculoskeletal issues or neurological disorders rather than lithium toxicity.
C.   Elevated blood pressure is not a typical symptom of lithium toxicity. Lithium can actually have a protective effect on blood pressure, and hypertension is not commonly associated with lithium toxicity.
D.   Dry cough is not a symptom of lithium toxicity. It is more commonly associated with respiratory conditions or medication side effects rather than lithium toxicity.

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Correct Answer is B

Explanation

B. Disulfiram works by inhibiting the enzyme aldehyde dehydrogenase, which is involved in the metabolism of alcohol. When a person drinks alcohol while taking disulfiram, they experience unpleasant symptoms such as flushing, nausea, vomiting, headache, and palpitations. These aversive reactions are intended to deter the individual from consuming alcohol, thereby supporting abstinence.
A. Carbamazepine is an anticonvulsant medication used to treat seizures and mood disorders, but it is not typically used for aversion therapy in alcohol use disorder.
C. Atenolol is a beta-blocker medication used to treat hypertension and certain heart conditions. It is not indicated for aversion therapy in alcohol use disorder.
D. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not used for aversion therapy in alcohol use disorder.

A. 15 g of carbohydrates B. Diphenhydramine C. Naloxone D. IV fluid bolus

Correct Answer is D

Explanation

D. Dizziness and lightheadedness may be indicative of hypotension, which can occur as a side effect of ramipril, particularly with the first dose or with dose adjustments. Administering an IV fluid bolus can help increase intravascular volume, improve blood pressure, and alleviate symptoms of hypotension.
A. Administering carbohydrates is not indicated for dizziness and lightheadedness associated with ramipril administration. Carbohydrates are typically used to treat hypoglycemia in clients with diabetes. Dizziness and lightheadedness in this scenario are unlikely to be caused by hypoglycemia.
B. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, itching, and insomnia. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Administering diphenhydramine may not address the underlying cause of the symptoms.
C. Naloxone is a medication used to reverse opioid overdose by blocking the effects of opioids at receptor sites. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Naloxone would not be appropriate in this situation.

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A nurse in a mental health facility is collecting data from a client who is taking lithium. Which of the following findings 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 is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

Correct Answer is B

Explanation

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

Correct Answer is D

Explanation

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