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 A
Explanation
A. This comment uses reflective communication to seek clarification and ensures the nurse accurately understands the patient’s concerns and feelings.
B. "Tell me everything from the beginning" may overwhelm the patient and does not specifically clarify understanding.
C. "Tell me again about your experiences" asks for repetition rather than clarification of understanding.
D. "What are the common elements here?" may be too abstract and analytical, making it difficult for the patient to respond effectively.
Correct Answer is C
Explanation
A. Anger is a common emotion in psychiatric patients but is less predictive of suicide risk.
B. Elation may occur in some mood disorders but is not strongly associated with imminent suicide risk.
C. Hopelessness is the feeling most strongly correlated with suicidal ideation and attempts, making it a key predictor for elevated suicide risk.
D. Sadness is a symptom of depression but alone does not reliably predict suicide risk without accompanying hopelessness.
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