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 B
Explanation
A. Offer small amounts of clear liquids 6 hr following surgery: Typically, clear liquids can be introduced earlier if the child is awake and has no nausea.
B. Administer analgesics on a scheduled basis for the first 24 hr: Scheduled analgesia provides consistent pain relief, improving comfort and facilitating early mobilization, which is essential for preventing complications such as ileus or pneumonia.
C. Give cromolyn nebulized solution every 8 hr: Cromolyn is used for asthma, not postoperative care.
D. Apply a warm compress to the operative site once daily: Heat application to the surgical site is contraindicated as it may promote infection.
Correct Answer is C
Explanation
A. Encouraging the client to use furniture for support is unsafe, especially for a client on complete bed rest.
B. Physical therapy is not typically called for immediate assistance to use the bathroom and is impractical for an end-of-life client.
C. Exploring the client’s concerns allows the nurse to understand and address the emotional or psychological distress associated with using a bed pan.
D. Simply instructing the client to use a bed pan without addressing their concerns may seem dismissive and fail to provide emotional support.
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