A nurse is reviewing a client’s laboratory results prior to administering the client’s medications. The nurse notes that the client’s lithium level is 2.0 mEq/L.
Which of the following findings should the nurse expect?

Muscle irritability.

Constipation.

Hypoglycemia.

Increased BP.

Answer and Explanation

The Correct Answer is A

Muscle irritability. A client with a lithium level of

2.0 mEq/L has severe lithium toxicity, which can cause muscle irritability, tremors, seizures, and other neurological symptoms. The normal therapeutic range for lithium is 0.8-1.2 mEq/L.

Choice B is wrong because constipation is not a sign of lithium toxicity, but rather a possible side effect of lithium therapy at lower doses.

Choice C is wrong because hypoglycemia is not a sign of lithium toxicity, but rather a possible complication of diabetes or other conditions that affect blood sugar levels.

Choice D is wrong because increased blood pressure is not a sign of lithium toxicity, but rather a possible risk factor for cardiovascular disease or other conditions that affect blood vessels.

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Correct Answer is A

Explanation

“I will turn all pot handles toward the back of the stove.” This indicates that the guardian understands how to prevent the toddler from pulling a pot off the stove and getting burned.

Choice B is wrong because a child’s car seat should be rear-facing until the child is at least 2 years old or reaches the maximum height and weight for the seat.

Choice C is wrong because the temperature of the water heater should be set to no higher than 120 degrees to prevent scalding injuries.

Choice D is wrong because drop-side cribs are banned in the United States due to the risk of entrapment and suffocation.

A. Can draw a circle. B. Has a vocabulary of four words. C. Jumps with both feet. D. Weighs 12 kg (26.5 Ib).

Correct Answer is B

Explanation

Has a vocabulary of four words. This is because a 24-month-old toddler should be able to speak about 50 or more words and use simple phrases. Having a vocabulary of only four words indicates a significant delay in speech and language development that should be reported to the provider.

Choice A is wrong because drawing a circle is a normal fine motor skill for a 24- month-old toddler.

Choice C is wrong because jumping with both feet is a normal gross motor skill for a 24-month-old toddler.

Choice D is wrong because weighing 12 kg (26.5 Ib) is within the average range for a 24-month-old toddler.

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A nurse is reviewing a client’s laboratory results prior to administering the client’s medications. The nurse notes that the client’s lithium level is 2.0 mEq/L. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing home safety instructions with the guardian of an 18-month- old toddler. Which of the following responses by the guardian indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is collecting data from a 24-month-old toddler during an annual physical examination. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

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A nurse is reviewing a client’s laboratory results prior to administering the client’s medications. The nurse notes that the client’s lithium level is 2.0 mEq/L.
Which of the following findings should the nurse expect?