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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?.

A.

Constipation.

B.

Thyroid enlargement.

C.

Hyporeflexia.

D.

Elevated blood pressure.

Answer and Explanation

The Correct Answer is B

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.


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Related Questions

Correct Answer is B

Explanation

Choice A rationale:

Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.

Choice B rationale:

Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.

Choice C rationale:

Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.

Choice D rationale:

Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.

So, the correct answer is B.

Correct Answer is C

Explanation

Choice A rationale:

The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.

Choice B rationale:

Lithium can be taken with or without food. This instruction is not necessary.

Choice C rationale:

It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.

Choice D rationale:

The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.

So, the correct answer is C, after analyzing all choices.

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