A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?
Administer the regular dose of lithium.
Contact the laboratory to repeat the lithium level.
Obtain an ECG and institute seizure precautions.
Contact the provider to prescribe an increased dose of lithium.
The Correct Answer is A
A. A lithium level of 1.2 mEq/L falls within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder. Therefore, the nurse should administer the regular dose of lithium as prescribed and closely monitor the client for any side effects.
B. Repeating the lithium level is unnecessary because the current level is within the therapeutic range. Repeated testing may be warranted if the level is outside the therapeutic range or if there are clinical concerns.
C. This action is not indicated for a lithium level within the therapeutic range. ECG and seizure precautions are typically reserved for lithium toxicity, which presents with levels above the therapeutic range.
D. Increasing the dose of lithium is not warranted when the current level is within the therapeutic range. Doing so could increase the risk of toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tyramine is found in various foods and its levels increase when food is aged or fermented. Avocados, especially if they are overripe, can contain higher levels of tyramine compared to the other options listed. It is important for individuals taking MAOIs to manage their intake of tyramine-rich foods to avoid adverse reactions.
B. 2% milk does not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
C. Sliced apples do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
D. Celery sticks do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
Correct Answer is B
Explanation
A. It is generally advised to use additional forms of contraception or abstain from sexual activity for the first 7 days of the initial cycle.
B. If a pill is missed, the client should follow the specific instructions provided by the healthcare provider or the information leaflet, which typically involves taking the missed pill as soon as remembered and then continuing with the next dose at the regular time. Missed pills should be taken as soon as remembered, even if it means taking two pills in one day, and additional contraceptive measures may be necessary.
C. Increasing the dosage of an estrogen-progestin combination contraceptive for breakthrough bleeding is not a standard recommendation as this could lead to an increased risk of side effects. Breakthrough bleeding may occur, especially during the first few cycles of use, but it typically resolves on its own without the need for dosage adjustment.
D. There's no specific requirement to take combination contraceptives on an empty stomach. They can be taken with or without food, according to individual preference, but should be taken consistently at the same time each day to maximize effectiveness.
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