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A nurse is caring for a client who is taking lithium. The nurse should monitor for which of the following findings as an adverse effect of the medication?

Positive Chvostek's sign

Increased potassium level

Constipation

Increased urinary output

Answer and Explanation

The Correct Answer is D

A. Chvostek’s sign is associated with hypocalcemia, not lithium toxicity.

B. Lithium does not increase potassium levels; it may cause mild hyponatremia.

C. Lithium is more commonly associated with diarrhea, not constipation.

D. Lithium can cause nephrogenic diabetes insipidus, leading to increased urinary output.

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Correct Answer is D

Explanation

A. It is expected for a 24-month-old to have some difficulty with coordination when throwing a ball.

B. Using both feet on each step when going upstairs is developmentally appropriate at this age.

C. Running with a wide stance is common in toddlers as they develop balance and coordination.

D. This is the correct answer. By 24 months, a toddler should begin using pronouns such as "I" or "me" instead of referring to themselves by name, indicating a possible language delay.

A. Use clean technique for invasive procedures. B. Allow healthy children to visit. C. Monitor the client's temperature every 4 hr. D. Make sure the client's room is cleaned every 2 days.

Correct Answer is C

Explanation

A. Use clean technique for invasive procedures. – Incorrect. Sterile technique, not clean technique, is required to prevent infection in neutropenic clients.

B. Allow healthy children to visit. – Incorrect. Clients with neutropenia should avoid exposure to children due to the risk of infections.

C. Monitor the client's temperature every 4 hr. – Correct. Fever can indicate infection, which is life-threatening for neutropenic clients. Early detection is crucial.

D. Make sure the client's room is cleaned every 2 days. – Incorrect. The room should be cleaned daily to reduce infection risk.

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A nurse is caring for a client who is taking lithium. The nurse should monitor for which of the following findings as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?

Correct Answer is D

Explanation

A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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