A nurse is planning to teach a client who is taking lithium. Which of the following should the nurse include in the teaching as adverse effects of therapeutic lithium level?
Weight gain and dry mouth
Oliguria and muscle weakness
Hallucinations and blurred vision
Coarse hand tremors and confusion
The Correct Answer is A
A. Weight gain and dry mouth: Weight gain and dry mouth are common adverse effects of lithium at therapeutic levels. They are not immediately dangerous but can affect compliance with the medication regimen.
B. Oliguria (reduced urine output) and muscle weakness are more concerning symptoms. They can indicate potential toxicity, especially oliguria, which suggests possible renal impairment, a serious concern with lithium therapy.
C. Hallucinations and blurred vision are more severe and typically associated with lithium toxicity rather than therapeutic levels. They indicate a need for immediate medical attention.
D. Coarse hand tremors and confusion: Coarse hand tremors and confusion are signs of lithium toxicity. At therapeutic levels, fine hand tremors can occur, but coarse tremors and confusion suggest higher serum levels.These symptoms are associated with toxicity and require urgent medical evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Grandiosity: Individuals experiencing a manic episode may exhibit grandiosity, such as an inflated sense of self-importance, superiority, or power.
B. Flight of ideas: Flight of ideas refers to rapid, continuous speech that jumps from one topic to another, often with loose associations. It is a common manifestation of a manic episode.
C. Splitting: Splitting is a defense mechanism commonly associated with certain personality disorders, such as borderline personality disorder, but it is not typically observed during a manic episode of bipolar disorder.
D. Hyperactivity: Hyperactivity, or increased physical activity, is characteristic of a manic episode. Clients may engage in excessive goal-directed activities or restlessness.
E. Withdrawal: Withdrawal, or social withdrawal, is not a typical behavior during a manic episode. Instead, individuals with mania tend to exhibit increased sociability and extroversion.
Correct Answer is B
Explanation
A. Reach to Recovery: Reach to Recovery is a program offered by the American Cancer Society that provides support and resources to individuals facing breast cancer. While support is crucial for individuals facing cancer, it is not directly related to alcohol withdrawal.
B. 12-step program: A 12-step program, such as Alcoholics Anonymous (AA), is a widely recognized support group for individuals recovering from alcohol addiction. These programs provide a structured approach to recovery, including support from peers who have experienced similar challenges.
C. Al-Anon: Al-Anon is a support group specifically designed for family members and friends of individuals struggling with alcohol addiction. While it may not be directly applicable to the client themselves, it could be beneficial for their family members or loved ones.
D. Light therapy: Light therapy, also known as phototherapy, is a treatment used for conditions such as seasonal affective disorder (SAD) or certain types of depression. While it can be helpful for individuals experiencing mood disturbances, it is not typically recommended specifically for alcohol withdrawal.
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