A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse plan to take?
Restrict fluid intake to 1.5 liters/day
Administer a loop diuretic
Administer an additional dose of lithium
Prepare the client for hemodialysis
The Correct Answer is D
Explanation:
A. Restricting fluid intake is not the appropriate action for a high lithium level.
B. Administering a loop diuretic is not appropriate for treating lithium toxicity.
C. Administering an additional dose of lithium would worsen the toxicity and is contraindicated.
D. Hemodialysis is the treatment of choice for severe lithium toxicity to rapidly remove excess lithium from the bloodstream.
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Related Questions
Correct Answer is D
Explanation
A. Eggs are not typically restricted while taking phenelzine (Nardil).
B. Onions are not typically restricted while taking phenelzine (Nardil).
C. Apples are not typically restricted while taking phenelzine (Nardil).
D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.
Correct Answer is B
Explanation
A. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
B. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
C. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
D. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
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