A nurse is caring for a client.
Complete the following sentence by using the lists of options.
The nurse understands that the patient has likely developed
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
- Lithium toxicity: The client's lithium level is significantly elevated at 2.5 mEq/L (normal range is 0.6 to 1.2 mEq/L), and symptoms such as blurred vision, increased urine output, and clonic jerking of the upper extremities are indicative of lithium toxicity2.
- Seizure activity: Lithium toxicity can lead to neurological symptoms, including seizures, which require close monitoring
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
Step 1: Calculate the desired dose per minute.
Desired dose = 4 mcg/kg/min * 80 kg = 320 mcg/min
Step 2: Convert mcg/min to mg/hr.
320 mcg/min * 60 min/hr = 19200 mcg/hr = 19.2 mg/hr
Step 3: Calculate the concentration of dopamine in the solution.
Concentration = 800 mg / 250 mL = 3.2 mg/mL
Step 4: Calculate the volume to be infused per hour.
Volume/hr = Dose rate (mg/hr) / Concentration (mg/mL)
Volume/hr = 19.2 mg/hr / 3.2 mg/mL = 6 mL/hr
Therefore, the nurse should set the IV infusion to deliver 6 mL/hr.
Correct Answer is B
Explanation
A. Socialization can promote trust and reduce isolation, so limiting socialization is not beneficial.
B. Speaking in a neutral tone helps build trust and reduces perceived threats in clients with paranoid personality disorder, who may be suspicious of others' intentions.
C. Consistency in caregivers fosters trust, so rotating staff frequently may exacerbate the client's paranoia.
D. Mixing medication with food without the client's knowledge breaches trust and ethical guidelines.
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