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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

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Starting a new exercise program is not directly associated with the development of hypomagnesemia.

Choice B rationale:

Starting a new exercise program is not directly associated with the development of hypokalemia.

Choice C rationale:

Starting a new exercise program is not directly associated with the development of hypocalcemia.

Choice D rationale:

Excessive sweating during exercise, especially in hot conditions, can lead to loss of sodium through sweat, potentially resulting in hyponatremia. Lithium can also increase the risk of hyponatremia.

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Correct Answer is C

Explanation

A: Flushing an IV line with dextrose 5% in water before and after medication administration is a common practice to ensure that the medication is delivered properly and to prevent interactions in the IV line. This would not typically require an incident report.
B: An absolute neutrophil count of 2.500/mm3 is within the normal range for patients undergoing chemotherapy and would not typically necessitate an incident report.
C: Having chemotherapy 12 hours before the administration of filgrastim does not contraindicate its use and is within the appropriate time frame as filgrastim is often given after chemotherapy to help recover white blood cell counts.
D: According to the guidelines, filgrastim should be stored in the refrigerator and allowing it to sit at room temperature for 2 hours could compromise its effectiveness. This is a deviation from the medication's storage requirements and could potentially harm the patient, thus an incident report should be filed.

A. Fluid retention B. Insomnia C. Orthostatic hypotension D. Tinnitus

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse recently administered filgrastim intravenously to a client who has ccer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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