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 A
Explanation
- A) Alcohol use disorder is a contraindication for acetaminophen due to the increased risk of liver damage, especially in the case of chronic alcoholism or liver diseases.
- B) Chronic kidney disease is not an absolute contraindication but requires caution. Dosing intervals may need to be adjusted due to altered excretion.
- C) Receiving a Hepatitis B vaccine within the last week is not a contraindication for acetaminophen.
- D) Diabetes mellitus is not a contraindication for acetaminophen. Patients with diabetes should be aware of sugar content in liquid formulations, but it does not preclude the use of the medication.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.
Choice B rationale:
Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.
Choice C rationale:
The rate of drug absorption tends to decrease with age, not increase.
Choice D rationale:
Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.
Choice E rationale:
Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.
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