A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Hypomagnesemia
Hypokalemia
Hypocalcemia
Hyponatremia
The Correct Answer is D
Choice A rationale:
Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.
Choice B rationale:
Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.
Choice C rationale:
Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.
Choice D rationale:
Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Alopecia (hair loss) is not a common adverse effect of paroxetine.
Choice B rationale:
Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.
Choice C rationale:
Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.
Choice D rationale:
Peripheral edema is not a common adverse effect of paroxetine.
Correct Answer is B
Explanation
Choice A rationale:
Naloxone is an opioid antagonist and does not increase pain relief.
Choice B rationale:
Naloxone is used to reverse opioid overdose, and an increased respiratory rate is a therapeutic effect, as it helps to counteract the respiratory depression caused by opioids.
Choice C rationale:
Decreased blood pressure is not a therapeutic effect of naloxone.
Choice D rationale:
Naloxone is not used to treat nausea directly.
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