To prevent the occurrence of Lithium (Eskalith) toxicity, the nurse should teach the client to maintain adequate intake of
Chloride and sodium
Water and vitamins
Sodium and water
Potassium and water
The Correct Answer is C
Choice A rationale: Both sodium and chloride are important for fluid balance but chloride has no effect on the blood lithium levels.
Choice B rationale: sodium has an effect on the blood lithium levels by competing with lithium for reabsorption in the kidneys but vitamins do not influence the lithium levels in blood.
Choice C rationale: dehydration increases the risk of lithium toxicity since it will result in oliguria hence increasing the risk of lithium toxicity since the drug is primarily excreted in urine. Sodium and lithium compete for reabsorption in the kidneys, so low sodium levels can increase lithium retention and lead to toxicity. Therefore, the client should maintain an adequate intake of sodium and water to prevent dehydration and sodium loss and to keep the lithium level within the therapeutic range.
Choice D rationale: water has an influence on blood lithium levels since adequate intake minimizes the risk of toxicity by increasing the drug’s excretion in urine.
However, potassium does not compete with lithium for reabsorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: this statement is an example of false reassurance which may be dismissive and may make the client feel pressured to recover quickly.
Choice B rationale: this statement shows empathy since it acknowledges the client’s pains and validates the feelings and emotions without making them feel judged.
Choice C rationale: this statement is an example of positive reframing and can make the client feel guilty for feeling negative and may make them feel invalidated.
Choice D rationale: this is a form of sympathy to the patient rather than being empathetic since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale: Risperdal is an antipsychotic that can help reduce psychotic symptoms such as delusions and hallucinations, as well as stabilize mood swings.
Choice B rationale: Lithium is a mood stabilizer that can prevent manic episodes and reduce the risk of suicide.
Choice C rationale: Ativan is a benzodiazepine that can relieve anxiety and panic attacks.
Choice D rationale: Benadryl is an antihistamine that can cause drowsiness and sedation, but has no effect on mood.
Choice E rationale: Depakote is a mood stabilizer that can also treat seizures and migraines.
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