The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?
Sleepiness
Relaxed appearance
Calm behavior
Hyperactivity
The Correct Answer is D
A. Sleepiness is not typically associated with a low lithium level.
B. A relaxed appearance is not typically associated with a low lithium level.
C. Calm behavior is not typically associated with a low lithium level.
D. A lithium level of 0.3 mEq/L is considered below the therapeutic range, which typically falls between 0.6 and 1.2 mEq/L. Therefore, a nurse would expect to assess symptoms of under-medication, such as potential recurrence of manic symptoms, such hyperactivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shaving excess hair from the skin before applying a nitroglycerin patch helps ensure proper adhesion and absorption of the medication.
B. Used nitroglycerin patches should be folded with the medication area to the inside and disposed of in a manner that prevents accidental exposure to others.
C. Nitroglycerin patches are typically worn for a specified duration, often 12 to 14 hours, before being removed and replaced with a new patch.
D. Using multiple nitroglycerin patches simultaneously is not recommended and could lead to overdose.
Correct Answer is C
Explanation
A. ACE inhibitors primarily affect blood pressure and heart remodeling but do not directly decrease heart rate or contractility.
B. Vasodilators mainly lower blood pressure by expanding blood vessels and do not primarily affect heart rate or contractility.
C. Beta blockers decrease heart rate, contractility, and blood pressure, and are specifically used to improve survival after a heart attack by reducing the heart's workload and oxygen demand.
D. Diuretics primarily reduce blood pressure by decreasing blood volume but do not directly decrease heart rate or contractility.
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