The nurse is continuing to care for the client.

Exhibits

The nurse is providing teaching about lithium to the client and the client's adult child.

Select the 3 statements the nurse should include.

"Blurred vision is an expected adverse effect of this medication,"

"This medication can cause weight gain."

"This medication can cause nausea and drowsiness."

"It will take at least a week before this medication reaches a therapeutic level."

"You will be placed on a low-sodium diet while taking this medication."

Answer and Explanation

Correct Answer : B,C,D

A. "Blurred vision is an expected adverse effect of this medication." Blurred vision is not a common or expected adverse effect of lithium. If this occurs, it may indicate toxicity or another underlying issue and should be reported. It is not part of routine education for expected side effects.
B. "This medication can cause weight gain." This is true. Weight gain is a known long-term adverse effect of lithium therapy and should be discussed with the client and family as part of monitoring and lifestyle considerations during treatment.
C. "This medication can cause nausea and drowsiness." These are common initial side effects when starting lithium and usually subside over time. Clients should be aware of these effects so they can differentiate between expected reactions and signs of toxicity.
D. "It will take at least a week before this medication reaches a therapeutic level." Correct. Lithium takes 7–14 days to reach therapeutic plasma levels, so clients may not experience symptom relief immediately. During this period, supportive care and safety monitoring are essential.
E. "You will be placed on a low-sodium diet while taking this medication." This is incorrect. Lithium has a narrow therapeutic index, and sodium levels affect lithium levels. A low-sodium diet can increase the risk of lithium toxicity, so clients should maintain a consistent sodium intake, not reduce it.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Place a small, folded blanket behind the baby's neck to provide support while in the car seat. Adding extra padding behind the infant’s neck is not recommended, as it can alter the positioning and compromise the safety design of the car seat. Only manufacturer-approved inserts should be used.
B. Anchor the car seat in a rear-facing position in the back seat of the vehicle. Infants under the age of 2 should always be placed in a rear-facing car seat in the back seat. This position offers the best protection for the infant’s head, neck, and spine in the event of a crash.
C. Ensure the water heater temperature is set to no more than 54° C (129.2° F). This temperature is too high and increases the risk of scalding. The recommended maximum temperature for a household water heater is 49° C (120° F) to ensure infant safety.
D. Cover the baby with a cotton blanket when they are asleep. Using loose bedding, including blankets, increases the risk of sudden infant death syndrome (SIDS). Instead, the infant should sleep in a wearable blanket or sleep sack on a firm mattress without soft items.

A. Complete activities for one client before moving to the next client. B. Document assessment findings and interventions after providing care for a group of clients. C. Gather supplies for a client's dressing change after removing the old dressing. D. Delay cleaning personal work area until the end of the shift.

Correct Answer is A

Explanation

A. Complete activities for one client before moving to the next client. Focusing on completing tasks for one client at a time helps ensure safe, uninterrupted care, reduces errors, and promotes efficiency in task completion.
B. Document assessment findings and interventions after providing care for a group of clients. Delaying documentation increases the risk of forgetting important details and may lead to inaccuracies. Documentation should be done promptly after care is provided.
C. Gather supplies for a client's dressing change after removing the old dressing. Supplies should be gathered before beginning a procedure to prevent delays, reduce exposure time, and avoid leaving the client unattended.
D. Delay cleaning personal work area until the end of the shift. Maintaining a clean and organized workspace throughout the shift improves efficiency, infection control, and safety, especially in shared environments.

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The nurse is continuing to care for the client. Exhibits The nurse is providing teaching about lithium to the client and the client's adult child. Select the 3 statements the nurse should include.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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The nurse is continuing to care for the client.

Exhibits

The nurse is providing teaching about lithium to the client and the client's adult child.

Select the 3 statements the nurse should include.