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. Cholesterol is carried in the bloodstream by lipoproteins, including HDL (high- density lipoprotein), but it is not secreted as HDL.
B. Cholesterol is primarily eliminated from the body through the liver, where it is secreted into bile and eventually excreted in feces.
C. Cholesterol is not typically eliminated through the kidneys but rather through the liver and bile.
D. Cholesterol is not secreted in sweat as a primary method of elimination.
Correct Answer is ["C","D"]
Explanation
A. Green beans and bananas do not contain high amounts of omega-3 fatty acids.
B. Bananas do not contain significant amounts of omega-3 fatty acids.
C. Flax seeds are a rich source of alpha-linolenic acid (ALA), a type of omega-3 fatty acid.
D. Salmon is a fatty fish rich in omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).
E. Sunflower seeds are not a significant source of omega-3 fatty acids; they are higher in omega-6 fatty acids.
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