A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?

Dry cough

Elevated blood pressure

Stooped posture

Slurred speech

Answer and Explanation

The Correct Answer is D

A. Dry cough: This is not typically associated with lithium toxicity and may indicate another issue, such as a respiratory infection.
B. Elevated blood pressure: Lithium toxicity usually results in hypotension, not elevated blood pressure.
C. Stooped posture: This is not a typical sign of lithium toxicity.
D. Slurred speech: Slurred speech can be an early sign of lithium toxicity, indicating that the medication level is too high.

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Correct Answer is A

Explanation

A. Increased respiratory rate: Naloxone reverses respiratory depression caused by opioids, so an improvement in respiratory rate indicates effectiveness.
B. Report of decreased pain: Naloxone reverses opioid effects, including pain relief. Pain might increase, not decrease, following naloxone administration.
C. Increased temperature: Naloxone does not directly affect body temperature.
D. Decreased blood pressure: Naloxone is not associated with a direct effect on blood pressure; instead, it reverses opioid-induced hypotension.

A. Administer naloxone. B. Monitor amylase and lipase. C. Obtain a chest x-ray. D. Give acetylcysteine.

Correct Answer is D

Explanation

A. Administer naloxone: Naloxone is used for opioid overdoses, not acetaminophen.
B. Monitor amylase and lipase: This is not necessary for acetaminophen overdose.
C. Obtain a chest x-ray: This is unnecessary unless there is suspicion of aspiration or trauma.
D. Give acetylcysteine: Acetylcysteine is the antidote for acetaminophen overdose and helps prevent liver damage.

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A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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