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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dyspnea: Dyspnea is more indicative of fluid overload or an anaphylactic reaction.
B. Urticaria: Urticaria is a hallmark of an allergic reaction to transfused plasma proteins.
C. Chills: A febrile nonhemolytic reaction, the most common transfusion reaction, is characterized by chills, fever, and sometimes mild dyspnea or headache.
D. Vomiting: Vomiting is not a typical manifestation of a febrile nonhemolytic reaction.
Correct Answer is D
Explanation
A. Concurrent use of chondroitin: Chondroitin is commonly used to treat osteoarthritis and can generally be used safely alongside celecoxib.
B. Concurrent use of calcium supplements: Calcium supplements do not have a contraindication with celecoxib and can be used concurrently.
C. Penicillin allergy: A penicillin allergy does not affect the use of celecoxib, as it is unrelated to the penicillin class of antibiotics.
D. Sulfonamide allergy: Celecoxib is a sulfonamide-based medication, so clients with a sulfonamide allergy should not take it due to the risk of an allergic reaction.
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