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
Choice A rationale:
Fluid retention and edema are potential adverse effects of pioglitazone, a thiazolidinedione antidiabetic medication.
Choice B rationale:
Insomnia is not typically associated with pioglitazone.
Choice C rationale:
Orthostatic hypotension is not typically associated with pioglitazone.
Choice D rationale:
Tinnitus is not typically associated with pioglitazone.
Correct Answer is B
Explanation
Choice A rationale:
Lithium carbonate should be taken with meals to minimize gastrointestinal upset.
Choice B rationale:
Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.
Choice C rationale:
Tyramine is not typically restricted in clients taking lithium.
Choice D rationale:
Swelling of the feet is not a common adverse effect of lithium carbonate.
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