A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?

Generalized edema

Elevated urine specific gravity

Thready pulse

Increased hematocrit

Answer and Explanation

The Correct Answer is C

A. Water intoxication can lead to dilutional hyponatremia, which may result in fluid shifting into cells, causing cellular swelling and potentially cerebral edema, but generalized edema is not typically associated with water intoxication.

B. Water intoxication leads to dilution of electrolytes, including sodium, which results in decreased urine specific gravity rather than elevated.

C. Thready pulse is a common finding in water intoxication due to electrolyte imbalances and hemodilution.

D. Increased hematocrit is not typically associated with water intoxication; rather, it may indicate dehydration or hemoconcentration.

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Correct Answer is A

Explanation

A. Providing a flexible activity schedule allows the client to engage in activities that match their energy level and interests, promoting a sense of control and reducing agitation during acute

mania.

B. High-calorie nutritional supplements are not typically indicated solely based on the diagnosis of acute mania. Nutritional needs should be assessed, but providing high-calorie supplements

may not address the underlying issues associated with mania.

C. Allowing the client to eat meals alone in her room may not be safe or therapeutic during acute mania, as supervision during meals can ensure adequate nutrition and prevent potential harm or

inappropriate behaviors.

D. While promoting independence is important, allowing the client to choose her clothes independently may not be appropriate during acute mania, as it could result in wearing

inappropriate attire or exacerbate impulsivity.

A. Arterial blood gases B. Total cholesterol C. Thyroid hormones D. Hemoglobin

Correct Answer is C

Explanation

A. Arterial blood gases - Arterial blood gases are not typically assessed before initiating lithium carbonate therapy.

B. Total cholesterol - Total cholesterol levels are not specifically relevant to monitoring lithium therapy.

C. Thyroid hormones - Thyroid function should be assessed before initiating lithium therapy because lithium can affect thyroid function, potentially leading to hypothyroidism.

D. Hemoglobin - While hemoglobin levels may be monitored during lithium therapy, they are not typically assessed prior to initiating treatment.

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A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is experiencing acute mania. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose, which of the following laboratory values should the nurse evaluate?

Correct Answer is C

Explanation

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