A nurse is reinforcing teaching with a client who is to start taking lithium for bipolar disorder. Which of the following instructions should the nurse include?

Choose foods that are low in sodium.

Expect to lose weight while taking this medication.

Limit fluid intake of 1 liter per day.

Take lithium with meals or a glass of milk.

Answer and Explanation

The Correct Answer is D

Choice A reason: Clients should maintain consistent sodium intake, not restrict it. Low sodium can increase lithium toxicity.

Choice B reason: Weight gain, not weight loss, is a common side effect of lithium.

Choice C reason: Fluid intake should not be restricted. Adequate hydration is essential to prevent lithium toxicity.

Choice D reason: Taking lithium with meals or milk reduces gastrointestinal irritation, making this the correct teaching point.

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Correct Answer is D

Explanation

Choice A reason: Eating half of meals indicates reduced intake but is not immediately dangerous. It requires monitoring but is not the priority.

Choice B reason: Diminished facial affect is a negative symptom of schizophrenia. While important to document, it does not pose immediate risk.

Choice C reason: Decreased energy level is nonspecific and could be related to medication or illness. It is not urgent compared to bizarre behaviors.

Choice D reason: Bizarre behaviors are a positive symptom that may indicate worsening psychosis. They can pose safety risks to the client or others, making them the priority to report.

A. The client talks constantly about the traumatic experience. B. The client is constantly drowsy and sleeps 11-12 hr daily. C. The client reports satisfying personal relationships with family and close friends. D. The client is easily startled by loud voices.

Correct Answer is D

Explanation

Choice A reason: Clients with PTSD usually avoid discussing the traumatic event rather than talking constantly about it.

Choice B reason: Excessive sleep is not typical of PTSD. Clients often experience insomnia and hyperarousal.

Choice C reason: PTSD often leads to strained relationships due to withdrawal and emotional numbing, not satisfying connections.

Choice D reason: Hypervigilance and exaggerated startle response are hallmark symptoms of PTSD. Being easily startled by loud voices is expected.

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A nurse is reinforcing teaching with a client who is to start taking lithium for bipolar disorder. Which of the following instructions should the nurse include?

Nursing Test Bank

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