Which of the following nursing interventions should a nurse perform when caring for a female client with mood disorder who is prescribed lithium?
Instruct to resume regular activities such as driving.
Administer lithium before meals.
Withhold if serum level is less than 1.5 mEq.
Instruct to avoid breastfeeding.
The Correct Answer is D
A. Instruct to resume regular activities such as driving. It is not safe to instruct the client to resume activities like driving immediately, especially at the beginning of lithium therapy, as lithium can cause side effects that may impair the client's ability to safely perform tasks such as driving.
B. Administer lithium before meals. Lithium is typically taken with food to minimize gastrointestinal upset. Administering it before meals may increase the risk of side effects like nausea.
C. Withhold if serum level is less than 1.5 mEq. Lithium should be withheld if the serum level is above the therapeutic range (typically 0.6–1.2 mEq/L), as higher levels can lead to toxicity. Withholding lithium if the level is less than 1.5 mEq/L is incorrect and could lead to inadequate treatment.
D. Instruct to avoid breastfeeding. Lithium is excreted in breast milk and can pose a risk to the infant, so the client should be advised against breastfeeding while on lithium therapy.
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Related Questions
Correct Answer is D
Explanation
A. Place the client on his back, remove dangerous objects, and insert a bite block. Placing a client on their back during a seizure increases the risk of airway obstruction, and inserting a bite block is not recommended as it can cause injury.
B. Place the client on his side, remove dangerous objects, and insert a bite block. While positioning the client on their side is correct, inserting a bite block is contraindicated due to the risk of injury to the client.
C. Place the client on his back, remove dangerous objects, and hold down his arms. Restraining a client during a seizure is not recommended as it can cause injury. Placing the client on their back also poses a risk of airway obstruction.
D. Place the client on his side, remove dangerous objects, and protect his head. Positioning the client on their side helps maintain airway patency, removing dangerous objects prevents injury, and protecting the head helps prevent head trauma during the seizure.
Correct Answer is D
Explanation
A. Psychopharmacology: Psychopharmacology involves the use of medications to treat mental health disorders. It does not focus on altering irrational thinking, which is more relevant to therapy techniques.
B. Desensitization: Desensitization, or systematic desensitization, is a technique used to reduce anxiety by gradually exposing the client to the anxiety-provoking stimulus. It is not specifically aimed at altering irrational thinking.
C. Changing Therapy: The term "Changing Therapy" is not a standard therapy technique. It is not a recognized method for altering irrational thinking.
D. Cognitive Behavioral Therapy (CBT): CBT is specifically designed to help clients identify and alter irrational or distorted thinking patterns. It focuses on changing maladaptive thought processes and behaviors.
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