Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)?
Maintain stable fluid intake.
Restrict salt.
Restrict fluid.
Exercise in hot weather.
The Correct Answer is A
A. Lithium is excreted primarily by the kidneys, and its clearance can be affected by changes in fluid balance. It's important for clients taking lithium to maintain a stable and adequate fluid intake to help regulate lithium levels in the body. Stable fluid intake helps maintain electrolyte balance, which is crucial for the proper function of lithium and prevention of adverse effects.
B. Lithium can affect sodium reabsorption in the kidneys. High levels of sodium intake can alter lithium levels in the body, potentially leading to toxicity. Therefore, clients on lithium therapy are often advised to maintain a consistent and moderate level of sodium intake. Excessive dietary salt can interfere with lithium's therapeutic effects.
C. Restricting fluid intake is not recommended unless there are specific medical reasons to do so. Lithium therapy generally requires adequate hydration to maintain kidney function and prevent dehydration, which can affect lithium levels.
D. Exercising in hot weather can lead to increased sweating and fluid loss, which can potentially affect lithium levels by altering hydration status. However, the primary concern during exercise in hot weather is maintaining adequate hydration rather than restricting it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. This stage follows the acute phase of illness and involves efforts to restore functioning, improve quality of life, and regain independence through therapies such as physical therapy, occupational therapy, and speech therapy. Returning to work is a significant milestone in this phase, indicating progress in functional recovery.
A. This stage typically involves initial diagnosis, treatment, and acute management of the illness or condition. It focuses on stabilizing the patient's health and addressing immediate medical needs.
C. This stage emphasizes maintaining health and preventing recurrence or complications once the acute phase and recovery are complete. It involves strategies such as regular check-ups, lifestyle modifications, and adherence to health-promoting behaviors.
D. This stage typically refers to the closure of formal medical or rehabilitative services when the patient no longer requires ongoing professional intervention for the condition.
Correct Answer is D
Explanation
D. When someone assumes the sick role, society typically grants them permission to prioritize their health and well-being. This often includes being excused from work, school, or other responsibilities to focus on recovery. Rest is an important aspect of recuperation during illness.
A. When someone assumes the sick role, their engagement in social responsibilities typically decreases or is temporarily suspended. This is because the focus shifts towards managing the illness, seeking treatment, and recovering. Social interactions may be reduced due to physical limitations or the need to avoid spreading illness to others.
B. Denial of illness is not characteristic of assuming the sick role. Assuming the sick role involves acknowledging and recognizing the presence of illness, which prompts seeking medical attention and adopting behaviors conducive to recovery.
C. On the contrary, assuming the sick role often involves a change in duties and responsibilities. The individual may need to delegate tasks or take a break from their usual obligations to focus on recuperation and treatment.
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