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 ["1.2"]
Explanation
Toddler's weight: 26.4 lb
1 lb = 0.453592 kg (conversion factor)
Weight in kilograms = 26.4 lb × 0.453592 kg/lb ≈ 11.979 kg
Calculate the total dosage based on the toddler's weight:
Total dosage = 10 mg/kg × 11.979 kg
≈ 119.79 mg
Determine the volume of acetaminophen solution needed based on the concentration provided: Available concentration: 80 mg/0.8 mL
Dosage required: 119.79 mgUsing the formula:
Volume (mL) = Dosage required (mg) / Concentration (mg/mL)
= 119.79 mg / 80 mg/0.8 mL
≈ 1.2 mL
Correct Answer is B
Explanation
B. Phenytoin is associated with gingival hyperplasia, which is an overgrowth of gum tissue. It's essential for clients taking phenytoin to maintain good oral hygiene and receive regular dental check-ups to monitor for this side effect.
A. Phenytoin is not known to directly diminish potassium levels. However, it can cause a variety of electrolyte imbalances, including hyponatremia (low sodium levels) and hypocalcemia (low calcium levels), but not typically hypokalemia (low potassium levels).
C. Ginkgo biloba is an herbal supplement that does not interact with phenytoin.
D. Phenytoin can cause photosensitivity reactions in some individuals, leading to an increased risk of sunburn. However, teaching on gingival hyperplasia is more important.
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