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 A
Explanation
A. Sexual side effects, including decreased libido and difficulty achieving orgasm, are common with sertraline and should be included in discharge teaching.
B. Sertraline can be taken at any time of day and does not necessarily need to be taken at bedtime.
C. Urinary adverse effects are not typically associated with sertraline use.
D. Light sensitivity is not a common side effect of sertraline.
Correct Answer is ["A","C"]
Explanation
A. Feelings of despair or hopelessness are common symptoms of depression, reflecting a persistent low mood.
B. Increased energy is not typically associated with depression; instead, individuals with depression often experience fatigue or loss of energy.
C. Sleep disturbances, such as insomnia or hypersomnia, are common symptoms of depression, affecting both the ability to fall asleep and stay asleep.
D. Euphoria, or a feeling of intense happiness or excitement, is not typically associated with depression and may indicate a different mood disorder, such as bipolar disorder.
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