The nurse prepares to administer lithium, a mood stabilizing drug, to a patient. Which laboratory result should first be assessed?

Serum creatinine

Serum troponin I and T levels

Fasting blood glucose level

Serum lipid profile

Answer and Explanation

The Correct Answer is A

Choice A rationale: Before administering lithium, the nurse should assess serum creatinine levels. Lithium is excreted by the kidneys, and impaired renal function can lead to lithium toxicity.
Choice B rationale: Serum troponin I and T levels are markers of cardiac damage and are not directly related to lithium therapy.
Choice C rationale: Fasting blood glucose level is not specifically related to the assessment needed before administering lithium.
Choice D rationale: Serum lipid profile is not directly related to the assessment needed before administering lithium.

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Correct Answer is D

Explanation

Choice A rationale: Donepezil works by enhancing the action of acetylcholine, improving neuronal transmission, so this statement is accurate.
Choice B rationale: Upset stomach is a common side effect of donepezil, and the patient's awareness of this potential side effect indicates understanding.
Choice C rationale: Taking donepezil with food can reduce the risk of stomach upset, so this statement is appropriate.
Choice D rationale: Donepezil helps manage symptoms of Alzheimer's Disease but does not stop the progression or damage to neurons. Further education is needed on the realistic expectations of the medication.

A. History of hyperlipidemia. B. History of congestive heart failure C. History of breast cancer D. History of arthritis

Correct Answer is A

Explanation

Choice A rationale: Propofol is formulated in a lipid emulsion that can increase the serum triglyceride levels and cause pancreatitis, especially in patients with preexisting hyperlipidemia.
Choice B rationale: History of hyperlipidemia is not typically associated with an increased risk of adverse effects with propofol infusion.
Choice C rationale: History of breast cancer is not directly associated with an increased risk of adverse effects with propofol infusion.
Choice D rationale: History of arthritis is not directly associated with an increased risk of adverse effects with propofol infusion.

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The nurse prepares to administer lithium, a mood stabilizing drug, to a patient. Which laboratory result should first be assessed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with mild symptoms of Alzheimer Disease is prescribed donepezil, Which statement made by the patient indicates the need for further teaching?

Correct Answer is D

Explanation

The nurse learns that a patient will receive an infusion of Propofol for a procedure. The nurse knows that the following will increase risk for adverse effects with this infusion:

Correct Answer is A

Explanation

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