The nurse has been doing medication education for the client receiving lithium (Eskalith).
Which statement by the client indicates that teaching has been effective?
“I need to call my physician if I excessively sweat during exercise,"
“I can stop taking my lithium when my moods are stable."
I don't need to have my blood checked anymore after I leave the hospital."
"I need to restrict my intake of salt while I am taking lithium."
The Correct Answer is A
Explanation:
A. This is because lithium levels can be affected by changes in sodium balance and hydration levels in the body. Excessive sweating can lead to dehydration, which can increase lithium levels and potentially lead to toxicity. Therefore, it is important for clients to be aware of the need to maintain hydration and to communicate with their healthcare provider if there are any significant changes in their fluid balance, such as those caused by excessive sweating.
B. Stopping lithium abruptly, especially when moods are stable, can lead to relapse of bipolar disorder symptoms and is not recommended.
C. Regular monitoring of blood levels of lithium is essential to ensure therapeutic levels and prevent toxicity; therefore, the statement indicating the client no longer needs blood checks is incorrect.
D. Restricting salt intake lowers the sodium levels which can decrease lithium elimination, hence increasing the risk of toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Avoiding tyramine-containing foods is relevant for patients taking MAOIs, not SSRIs.
B. Sexual dysfunction, including decreased libido and difficulty achieving orgasm, is one of the most common adverse effects of SSRIs and should be discussed during patient education.
C. Signs and symptoms of hypertension are not directly related to SSRIs; they may occur with other medications or conditions.
D. Tremors are not as common with SSRIs compared to other classes of antidepressants such as tricyclic antidepressants.
Correct Answer is ["B","C","D"]
Explanation
A. While medication may be necessary for some individuals with high lipid levels, lifestyle modifications should be attempted first.
B. Smoking cessation can help improve lipid profiles and overall cardiovascular health.
C. Increased exercise can help lower lipid levels and improve cardiovascular health.
D. Restricting dietary cholesterol can help lower blood lipid levels.
E. Unsaturated fats, particularly monounsaturated and polyunsaturated fats, are actually beneficial for heart health and should not be restricted.
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