A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?.
GI discomfort and poor coordination.
Lip smacking and tongue thrusting.
Blurred vision and jerking motor movements.
Fever and fluctuating blood pressure.
The Correct Answer is A
Choice A rationale:
A serum lithium level of 1.6 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and can cause symptoms such as GI discomfort and poor coordination.
Choice B rationale:
Lip smacking and tongue thrusting are not typically associated with lithium toxicity.
Choice C rationale:
While blurred vision can be a symptom of lithium toxicity, jerking motor movements are not typically associated with this condition.
Choice D rationale:
Fever and fluctuating blood pressure are not typically symptoms of lithium toxicity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While acknowledging the voices can be part of therapeutic communication, it’s not the first response a nurse should make.
Choice B rationale:
Telling the client that the voices are part of their illness can be helpful, but it’s not the first response a nurse should make.
Choice C rationale:
Asking about the frequency of the voices can be part of the assessment, but it’s not the first response a nurse should make.
Choice D rationale:
Asking what the voices are saying can help assess if the client is experiencing command hallucinations, which could pose a safety risk.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Sexual dysfunction is not typically associated with extrapyramidal side effects (EPS). EPS are usually characterized by involuntary motor symptoms.
Choice B rationale:
Muscle spasms of the neck, also known as dystonia, are a common symptom of EPS12.
Choice C rationale:
Tremors of the hands can be a sign of EPS, often associated with drug-induced parkinsonism.
Choice D rationale:
Fidgeting behavior, or akathisia, is a common symptom of EPS. It is characterized by a feeling of restlessness and an inability to sit still.
Choice E rationale:
Blurred vision is not typically associated with EPS. It is more likely to be a side effect of the medication itself, not a symptom of EPS12.
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