A nurse in a mental health facility is collecting data from a client who is taking lithium. Which of the following findings should the nurse report to the provider as an indication of lithium toxicity?
Slurred speech
Stooped posture
Elevated blood pressure
Dry cough
The Correct Answer is A
A. Slurred speech can be a symptom of lithium toxicity. As lithium levels rise in the blood, it can affect neurological function, leading to symptoms such as confusion, drowsiness, tremors, and slurred speech.
B. Stooped posture is not typically associated with lithium toxicity. It is more commonly associated with musculoskeletal issues or neurological disorders rather than lithium toxicity.
C. Elevated blood pressure is not a typical symptom of lithium toxicity. Lithium can actually have a protective effect on blood pressure, and hypertension is not commonly associated with lithium toxicity.
D. Dry cough is not a symptom of lithium toxicity. It is more commonly associated with respiratory conditions or medication side effects rather than lithium toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The expected therapeutic effect of montelukast is the reduction of bronchial inflammation. By blocking leukotriene receptors, montelukast helps to prevent the constriction of airway muscles, decrease mucus secretion, and reduce inflammation in the airways. This can lead to improved asthma control and symptom management.
A. Montelukast is not indicated for the treatment of gastric acid-related conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
B. Montelukast is not typically associated with peripheral vasodilation. Its primary mechanism of action involves blocking the action of leukotrienes, which are inflammatory mediators involved in allergic and asthmatic reactions.
C. Montelukast does not affect white blood cell (WBC) count.
Correct Answer is C
Explanation
A. Nitroglycerin patches should not be removed for routine activities like bathing unless specifically instructed.
B. Nitroglycerin is used to treat hypertension, not induce it. Monitoring for hypertension after applying the patch is unnecessary.
C. To prevent skin irritation and tolerance to the medication, it is important to rotate the application sites when using a transdermal patch. This allows the skin to recover and helps maintain the effectiveness of the medication.
D. Nitroglycerin patches are typically worn continuously for 12 to 14 hours and then removed for a 10- to 12-hour nitrate-free interval to prevent tolerance to the medication.
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