In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:
Fats
Protein
Sodium
Potassium
The Correct Answer is C
Choice A rationale: fats are directly related to lithium therapy and does not require any special monitoring during the drug’s intake.
Choice B rationale: proteins do not affect the blood levels of lithium hence they do not require any special monitoring during the drug’s intake.
Choice C rationale: Lithium is a salt that can affect the fluid and electrolyte balance in the body and competes with sodium for their reabsorption in the kidneys.
Therefore, if the client consumes too much or too little sodium, it can alter the level of lithium in the blood and cause toxicity or ineffectiveness hence the need for close monitoring.
Choice D rationale: potassium does not affect the blood levels of lithium hence no special monitoring during intake is required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
3 tablets
To calculate the number of tablets needed, divide the total prescribed dose by the strength of each tablet. In this case, 30mg / 10mg per tablet = 3 tablets.
Correct Answer is D
Explanation
Choice A rationale: Transference involves the client projecting feelings or attitudes onto the healthcare provider and can affect the therapeutic relationship.
Choice B rationale: Environmental problems are external issues arising from the individual’s physical and social setting such as interruptions and noise and can affect the therapeutic environment, not the nurse's emotional responses.
Choice C rationale: Resistance refers to the situation where the client consciously or unconsciously opposes or is reluctant to engage in therapeutic interventions and hinders treatment progress and outcomes.
Choice D rationale: Countertransference occurs when the healthcare provider projects their feelings and emotions, experiences, or unresolved issues onto the client. The nurse's overprotective feelings interfere with the objectivity and effectiveness of the therapeutic relationship.
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