A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose, which of the following laboratory values should the nurse evaluate?
Arterial blood gases
Total cholesterol
Thyroid hormones
Hemoglobin
The Correct Answer is C
A. Arterial blood gases - Arterial blood gases are not typically assessed before initiating lithium carbonate therapy.
B. Total cholesterol - Total cholesterol levels are not specifically relevant to monitoring lithium therapy.
C. Thyroid hormones - Thyroid function should be assessed before initiating lithium therapy because lithium can affect thyroid function, potentially leading to hypothyroidism.
D. Hemoglobin - While hemoglobin levels may be monitored during lithium therapy, they are not typically assessed prior to initiating treatment.
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Related Questions
Correct Answer is D
Explanation
A. Herpes simplex virus 2: Herpes simplex virus infections are not typically reportable to the
Centers for Disease Control and Prevention (CDC). These infections are commonly managed at the local level.
B. Candida albicans: Candida albicans infections are not typically reportable to the CDC. Candida species are common pathogens and are usually managed at the local level.
C. Staphylococcus aureus: Staphylococcus aureus infections, including methicillin-resistant
Staphylococcus aureus (MRSA), are not typically reportable to the CDC unless part of a larger outbreak or public health concern.
D. Lyme disease: Lyme disease is a reportable infection that requires notification to public health authorities, including the Centers for Disease Control and Prevention (CDC). Lyme disease is a vector-borne illness transmitted through the bite of infected ticks.
Correct Answer is D
Explanation
A) The recommended hepatitis vaccine series is not a series of four but typically a three-dose series, which provides protection against hepatitis B.
B) Hepatitis B is not transmitted by contaminated food. It is spread through contact with infected blood, semen, or other body fluids.
C) While chronic hepatitis C has been associated with an increased risk of renal cell carcinoma, this is not established as a common outcome for all chronic hepatitis infections.
D) Individuals with a history of viral hepatitis, specifically hepatitis B or C, are generally ineligible to donate blood due to the risk of transmission.
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