A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Drinking green tea.
Exercising moderately.
Increasing sodium intake.
Experiencing diarrhea.
The Correct Answer is D
Choice A rationale:
Drinking green tea does not directly cause lithium toxicity.
Choice B rationale:
Moderate exercise does not directly cause lithium toxicity.
Choice C rationale:
Increasing sodium intake does not directly cause lithium toxicity. In fact, a sudden decrease in sodium intake can increase the risk of lithium toxicity.
Choice D rationale:
Experiencing diarrhea can lead to dehydration, which increases the risk of lithium toxicity by reducing the excretion of lithium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While acknowledging the voices can be part of therapeutic communication, it’s not the first response a nurse should make.
Choice B rationale:
Telling the client that the voices are part of their illness can be helpful, but it’s not the first response a nurse should make.
Choice C rationale:
Asking about the frequency of the voices can be part of the assessment, but it’s not the first response a nurse should make.
Choice D rationale:
Asking what the voices are saying can help assess if the client is experiencing command hallucinations, which could pose a safety risk.
Correct Answer is C
Explanation
Choice A rationale:
Fluvastatin is a medication used to treat high cholesterol. It is not used to treat mania in bipolar disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used for treating anxiety, not typically used as a first-line treatment for mania.
Choice C rationale:
Carbamazepine is an anticonvulsant that is used as a mood stabilizer in the treatment of bipolar disorder. It can help reduce symptoms of mania.
Choice D rationale:
Propranolol is a beta-blocker used to treat high blood pressure and heart conditions. It is not typically used to treat mania in bipolar disorder.
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