A patient has been admitted and the nurse suspect lithium toxicity. What symptoms should be suspected with a patient who has to

shortness of breath, gastrointestinal distress, chronic cough

weakness, nausea, diarrhea

ECG changes, chest pain, dizziness

gastrointestinal distress, thirst, nystagmus

Answer and Explanation

The Correct Answer is B

Rationale:
A. Shortness of breath and chronic cough are not typical early signs of lithium toxicity; these suggest possible respiratory or cardiac issues unrelated to lithium.
B. Early signs of lithium toxicity include gastrointestinal upset (nausea, diarrhea) and neuromuscular effects such as weakness.
C. ECG changes and chest pain can occur with severe toxicity, but they are not the most common initial symptoms.
D. Thirst may be a side effect of lithium due to nephrogenic diabetes insipidus, and nystagmus can occur in severe neurotoxicity, but these are not the classic early warning signs.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Painting is a solitary, creative activity that requires minimal cognitive processing and social interaction, making it suitable for clients experiencing disturbed thoughts.
B. Playing cards requires attention to rules and interaction, which might be difficult during disturbed thoughts.
C. Playing board games often requires sustained concentration and social engagement, which may be overwhelming initially.
D. Playing checkers also requires strategy and focus, which may not be appropriate during acute thought disturbances.

A. Energy drink containers B. Hypodermic needles C. Empty soda cans D. Fast food wrappers

Correct Answer is A

Explanation

Rationale:
A. Energy drink containers may be counted because excessive caffeine intake can worsen agitation and mania symptoms. Monitoring caffeine consumption is relevant in manic episodes.
B. Hypodermic needles are not typically related to mania assessment unless substance abuse is suspected.
C. Empty soda cans may contain caffeine but energy drinks have a much higher caffeine concentration, making them more clinically relevant.
D. Fast food wrappers indicate diet but are less directly related to manic behavior management.

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A patient has been admitted and the nurse suspect lithium toxicity. What symptoms should be suspected with a patient who has to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is creating a plan of care for a client with mania and determines that the client is experiencing disturbed thoughts. Which activity related to disturbed thoughts should the nurse provide for the client initially?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? (Select all that apply).

The nurse understands that the client alternating between hypomania and mild to moderate depression is experiencing which disorder?

A nurse knows that lithium should be measured at least how many days after beginning lithium therapy and after any dosage change when?

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?

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Four new patients were admitted to the behavioral health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these patients for safety. Which patient will need the most watchful supervision? A patient diagnosed with

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