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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is ["A","B","D"]
Explanation
A. Lie down with feet elevated if dizziness occurs while taking this medication.: Dizziness may occur due to hypotension caused by nitroglycerin. Elevating the feet can improve blood flow to the brain and alleviate symptoms.
B. Apply the patch daily to a hairless area of the skin.: The patch should be applied to a clean, dry, and hairless area to ensure proper adhesion and absorption of the medication.
C. The medication will be effective 30 to 45 min following application.: Nitroglycerin patches are used for long-term prevention of angina, not immediate relief, which is provided by sublingual or spray formulations. The patch takes several hours to reach full effect.
D. Remove the patch 12 to 14 hr following application.: Removing the patch for 12 to 14 hours each day prevents tolerance to the medication. This is typically referred to as a "nitrate-free" interval.
E. Remove the patch if you experience a headache.: Headaches are a common side effect of nitroglycerin due to vasodilation. Clients should not remove the patch but may use analgesics like acetaminophen to manage the headache.
F. Place the patch on the same area every day.: The patch site should be rotated daily to prevent skin irritation.
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