A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.

Withhold dose if having a fine hand tremor.

Avoid foods with a high tyramine content.

Limit daily fluid intake.

Follow a low-sodium diet.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.

Choice B rationale:

Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.

Choice C rationale:

Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.

Choice D rationale:

Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.

So, the correct answer is, none of the above.

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Correct Answer is B

Explanation

Choice A rationale:

Constipation is not a common side effect of lithium carbonate.

Choice B rationale:

Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.

Choice C rationale:

Hyporeflexia is not typically associated with lithium carbonate use.

Choice D rationale:

Elevated blood pressure is not a common side effect of lithium carbonate.

So, the correct answer is B.

A. "I should take this medication when my spasms are bad.”. B. "I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”. C. "I am glad this medication is safe to take if I get pregnant.”. D. "I should return to the clinic to have my calcium level checked every 6 weeks.”.

Correct Answer is A

Explanation

Choice A rationale:

Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.

Choice B rationale:

While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.

Choice C rationale:

The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.

Choice D rationale:

There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use.

So, the correct answer is A.

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A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.Which of the following instructions should the nurse include when reinforcing the teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder.For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.