A health teaching plan for a patient taking lithium should include instructions to
drink twice the usual dally amount of fluid.
double the lithium dose if diarrhea or vomiting occurs.
maintain normal salt and fluids in the diet.
avoid eating aged cheese, processed meats, and red wine.
The Correct Answer is C
A. Patients do not need to double fluid intake, just maintain adequate hydration (2–3 L/day). Drinking twice the usual amount could lead to fluid overload or dilute sodium balance.
B. Lithium should never be doubled. In fact, vomiting and diarrhea increase risk of lithium toxicity, so the provider must be notified instead.
C. Lithium excretion is closely tied to sodium and fluid balance. A stable diet with normal salt and adequate fluid intake helps prevent fluctuations in lithium levels and reduces risk of toxicity.
D. Avoiding aged cheese, processed meats, and red wine is teaching for MAOI therapy (to prevent hypertensive crisis due to tyramine), not for lithium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Mild anxiety usually presents with slight discomfort, restlessness, or irritability, and the client remains able to focus and problem-solve.
B. Severe anxiety is characterized by physical symptoms such as chest pain, headache, shortness of breath, and a preoccupation with specific concerns (e.g., personal problems) that limit the client’s ability to focus on other matters.
C. Panic involves sudden, intense terror or dread, often accompanied by inability to communicate or function, and may include distorted perceptions or irrational behavior. The client in this scenario can still verbalize concerns.
D. Moderate anxiety causes narrowing of attention and some tension or restlessness, but the physical manifestations and preoccupation in this scenario indicate a more severe level.
Correct Answer is A
Explanation
A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.
B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.
C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.
D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.
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