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?

Arterial blood gases

Total cholesterol

Thyroid hormones

Hemoglobin

Answer and Explanation

The Correct Answer is C

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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Correct Answer is B

Explanation

A. Crepitus is not typically associated with right ventricular heart failure; it may indicate subcutaneous emphysema or air leakage into the tissues.

B. Right ventricular heart failure often leads to elevated pulmonary artery pressure due to increased pressure in the pulmonary circulation.

C. Hepatosplenomegaly may occur in congestive heart failure but is not specific to right ventricular heart failure.

D. Confusion may occur in severe cases of heart failure due to decreased cerebral perfusion, but it is not specific to right ventricular heart failure.

A. Ventrogluteal B. Dorsogluteal C. Vastus lateralis D. Rectus femoris

Correct Answer is A

Explanation

A. Ventrogluteal - The ventrogluteal site is preferred for intramuscular injections in adults due to its proximity to large, deep muscles and minimal risk of injury to major nerves and blood vessels.

B. Dorsogluteal - The dorsogluteal site is not recommended for intramuscular injections due to the risk of injury to the sciatic nerve and superior gluteal artery.

C. Vastus lateralis - The vastus lateralis is a safe site for intramuscular injections, particularly in infants and young children.

D. Rectus femoris - The rectus femoris muscle is not typically used for intramuscular injections due to its superficial location and proximity to major blood vessels.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the history and physical of a client who has right ventricular heart failure.Which of the following is an expected finding?

Correct Answer is B

Explanation

A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client.Which of the following is the safest site for the nurse to use?

Correct Answer is A

Explanation

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