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:
Stopping medication can be a sign of non-compliance or dissatisfaction with treatment, but it is not a direct warning sign of suicide.
Choice B rationale:
Requesting an appointment to discuss depression is a positive step towards seeking help and managing mental health.
Choice C rationale:
Sleeping 12 hours a day could indicate depression or other mental health issues, but it is not a specific warning sign of suicide.
Choice D rationale:
Giving away possessions can be a warning sign of suicide as it might indicate that the person is putting their affairs in order, which is a serious suicide warning sign.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder.
Choice B rationale:
Valproate is an antiepileptic and mood-stabilizing medication commonly used to treat bipolar disorder.
Choice C rationale:
Carbamazepine is an anticonvulsant medication that has been found effective in managing mood swings in bipolar disorder.
Choice D rationale:
Donepezil is primarily used to treat Alzheimer’s disease and is not typically used in the treatment of bipolar disorder.
Choice E rationale:
Paroxetine is a type of antidepressant known as an SSRI, and it can be used in the treatment of bipolar disorder.
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