A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?

Brain natriuretic peptide

Erythrocyte sedimentation rate

Thyroid hormone assay

Liver function tests

Answer and Explanation

The Correct Answer is C

A. Brain natriuretic peptide - Brain natriuretic peptide (BNP) is primarily used to diagnose heart failure and assess its severity. It is not routinely monitored in clients taking lithium.

B. Erythrocyte sedimentation rate - Erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and is not specifically related to lithium therapy monitoring.

C. Thyroid hormone assay - Monitoring thyroid function is essential in clients taking lithium because lithium can affect thyroid function, leading to hypothyroidism or hyperthyroidism. Therefore, checking thyroid hormone levels (T3, T4, and TSH) is important before administering lithium.

D. Liver function tests - While lithium can affect liver function in some cases, routine monitoring of liver function tests is not typically required for clients taking lithium. However, periodic liver function tests may be ordered if clinically indicated or if the client has underlying liver disease.

Nursing Test Bank

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Correct Answer is ["A","B","C"]

Explanation

A. Pharmacists: Pharmacists are healthcare professionals who are highly knowledgeable about medications, including their indications, dosages, contraindications, interactions, and administration routes. They play a crucial role in ensuring safe medication administration by providing accurate information and counseling to both healthcare providers and patients.

B. Published journals: Published journals contain peer-reviewed articles and research studies on various aspects of medication administration, including best practices, guidelines, new developments, and evidence-based recommendations. Healthcare professionals often refer to reputable journals to stay updated on the latest information and advancements in medication administration.

C. Physicians Desk Reference (PDR): The Physicians Desk Reference is a comprehensive reference book that provides information on prescription drugs, including their indications, dosages, side effects, and interactions. It is commonly used by healthcare providers as a reliable source of medication information to support safe prescribing and administration practices.

D. Pharmaceutical sales representatives: While pharmaceutical sales representatives may provide information about specific medications, their primary role is to promote and market pharmaceutical products. While they may offer valuable information about medication characteristics, their input may be biased toward promoting specific products rather than providing comprehensive and unbiased information about medication administration. Therefore, they are not typically considered acceptable references for safe medication administration.

Correct Answer is ["8"]

Explanation

To calculate the flow rate in drops per minute (gtt/min), we first need to find the total number of drops (gtt) that will be infused over 3 hours and then divide by the total infusion time in minutes.

Given: Volume to infuse = 150 mL

Infusion time = 3 hours

Drop factor = 10 gtt/mL

First, let's find the total number of drops for the entire infusion:

Total drops = Volume × Drop factor

Total drops = 150 mL × 10 gtt/mL = 1500 drops

Now, let's find the infusion time in minutes: Infusion time (in minutes) = 3 hours × 60 minutes/hour = 180 minutes

Finally, let's calculate the flow rate:

Flow rate (gtt/min) = Total drops / Infusion time

Flow rate = 1500 drops / 180 minutes ≈ 8.33 gtt/min

Rounded to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 8 gtt/min.

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A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

Correct Answer is ["8"]

Explanation

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