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?
Thyroid enlargement
Constipation
Hyporeflexia
Elevated blood pressure
The Correct Answer is A
A. Lithium can cause hypothyroidism and goiter as adverse effects. Therefore, monitoring of thyroid function and physical examination for thyroid enlargement is necessary during lithium therapy.
B. Constipation is not a typical adverse effect of lithium carbonate. It's more commonly associated with side effects such as nausea, diarrhea, or polyuria.
C. Hyporeflexia is not commonly associated with lithium carbonate use. Lithium more commonly affects the central nervous system, leading to symptoms such as tremors, confusion, and seizures in cases of toxicity.
D. Lithium is more commonly associated with the opposite effect, lowering blood pressure rather than elevating it. It's known to have effects on sodium transport in renal tubules, leading to increased water retention and possibly hypotension.
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Related Questions
Correct Answer is A
Explanation
A. Lithium can cause hypothyroidism and goiter as adverse effects. Therefore, monitoring of thyroid function and physical examination for thyroid enlargement is necessary during lithium therapy.
B. Constipation is not a typical adverse effect of lithium carbonate. It's more commonly associated with side effects such as nausea, diarrhea, or polyuria.
C. Hyporeflexia is not commonly associated with lithium carbonate use. Lithium more commonly affects the central nervous system, leading to symptoms such as tremors, confusion, and seizures in cases of toxicity.
D. Lithium is more commonly associated with the opposite effect, lowering blood pressure rather than elevating it. It's known to have effects on sodium transport in renal tubules, leading to increased water retention and possibly hypotension.
Correct Answer is A
Explanation
A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.
Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.
B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.
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