The nurse should monitor the client for signs and symptoms of digoxin toxicity if the laboratory report reflects a serum:

sodium of 133 mg/dl.

glucose of 110 mg/dl.

potassium of 3.0 mEq/L.

calcium of 9.0 mg/dl.

Answer and Explanation

The Correct Answer is C

C. Digoxin toxicity is a serious condition that can occur when there is too much digoxin in the body. It can lead to life-threatening cardiac dysrhythmias. One of the risk factors for digoxin toxicity is low blood levels of potassium, or hypokalemia.
A. Electrolyte imbalances, including hyponatremia (low sodium levels), can contribute to digoxin toxicity. However, a sodium level of 133 mg/dl alone does not directly indicate digoxin toxicity.
B. Blood glucose levels within the normal range (80-120 mg/dl) would not directly indicate digoxin toxicity.
D. Calcium levels within the normal range (8.5-10.5 mg/dl) do not directly indicate digoxin toxicity.

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Correct Answer is C

Explanation

C. Sodium intake can influence lithium excretion and affect serum lithium levels. Maintaining a consistent and adequate sodium intake is important for stabilizing serum lithium levels and optimizing the medication's therapeutic effects.
A. Patients should have their serum lithium levels checked regularly, typically every 3 months, not just every 6 months as suggested.
B. Clients should never adjust their lithium dose without consulting their healthcare provider. Lithium dosage adjustments should be made only under the guidance and supervision of a healthcare professional based on the client's clinical response, serum lithium levels, and overall treatment plan.
D. Adequate hydration is essential for overall health and well-being, and dehydration can increase the risk of lithium toxicity.

A. Submissive and clinging behaviors B. Grandiose sense of self-importance C. Pattern of intense and chaotic relationships D. Odd beliefs and magical thinking

Correct Answer is B

Explanation

B. Individuals with this disorder often have an exaggerated sense of their own importance, achievements, talents, and capabilities. They may believe they are special or unique and expect to be recognized as such without commensurate achievements.
A. Individuals with narcissistic personality disorder tend to display a sense of superiority and entitlement rather than submissive or dependent behaviors.
C. The characteristic feature is not typically intense and chaotic relationships. Instead, relationships may be characterized by exploitation, manipulation, and a lack of genuine emotional connection.
D. Odd beliefs and magical thinking are more commonly associated with other personality disorders, such as schizotypal personality disorder. In narcissistic personality disorder, individuals may have an inflated sense of self and unrealistic beliefs about their abilities.

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The nurse should monitor the client for signs and symptoms of digoxin toxicity if the laboratory report reflects a serum:

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Naxlex Comprehensive Predictor Exams

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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