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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. Noncompliance implies that the client is not following a prescribed treatment plan, which may not be the case here as the client is being educated.
B. Deficient knowledge reflects the need for education regarding lifestyle changes, such as dietary modifications, which is appropriate for a client newly diagnosed with hyperlipidemia.
C. Impaired health maintenance might be applicable if the client was not adhering to prescribed drug therapy, but this diagnosis doesn't address the need for education.
D. Self-care deficit may apply if the client is unable to perform necessary self-care activities due to physical limitations but does not address the educational aspect of dietary changes.
Correct Answer is A
Explanation
A. Sexual side effects, including decreased libido and difficulty achieving orgasm, are common with sertraline and should be included in discharge teaching.
B. Sertraline can be taken at any time of day and does not necessarily need to be taken at bedtime.
C. Urinary adverse effects are not typically associated with sertraline use.
D. Light sensitivity is not a common side effect of sertraline.
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