A nurse is caring for a client who is taking lithium and reports starting a new exercise program.
The nurse should assess the client for which of the following electrolyte imbalances?

Hypomagnesemia.

Hypocalcemia.

Hyponatremia.

Hypokalemia.

Answer and Explanation

The Correct Answer is C

Lithium can cause hyponatremia by increasing the secretion of antidiuretic hormone and reducing the renal clearance of sodium.

Strenuous exercise can also cause hyponatremia by increasing sweat loss and fluid intake. Therefore, a client who is taking lithium and starting a new exercise program is at risk of developing hyponatremia.

Choice A is wrong because hypomagnesemia is not a common side effect of lithium or exercise.

Choice B is wrong because hypocalcemia is not a common side effect of lithium or exercise.

Choice D is wrong because hypokalemia is not a common side effect of lithium or exercise.

However, lithium can interact with some diuretics that can cause hypokalemia, so the client should avoid taking these drugs without consulting their doctor. Normal ranges for electrolytes are:

Sodium: 135-145 mmol/L

Magnesium: 0.7-1.1 mmol/L

Calcium: 2.1-2.6 mmol/L

Potassium: 3.5-5.0 mmol/L

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Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

Older adults are at higher risk of adverse drug reactions due to multiple health problems, polypharmacy, and decreased renal function.

These factors can affect the pharmacokinetics and pharmacodynamics of pain medications and increase the likelihood of drug interactions, overdosage, or toxicity.

Choice A is wrong because the decreased percentage of body fat does not increase the risk of adverse drug reactions in older adults.

In fact, an increased percentage of body fat can alter the distribution and elimination of some drugs.

Choice C is wrong because an increased rate of absorption does not increase the risk of adverse drug reactions in older adults.

In fact, decreased rate of absorption can occur due to reduced gastric motility and blood flow.

A. Decreased blood pressure. B. Decreased nausea. C. Increased respiratory rate. D. Increased pain relief.

Correct Answer is C

Explanation

Naloxone is a drug that reverses the effects of opioids, such as morphine, by blocking their receptors in the brain. One of the adverse effects of morphine is respiratory depression, which means it slows down breathing and can lead to hypoxia (low oxygen levels) or death. Naloxone can restore normal breathing and prevent further harm from opioid overdose. Therefore, an increased respiratory rate is a therapeutic effect of naloxone.

Choice A is wrong because decreased blood pressure is not a therapeutic effect of naloxone.

In fact, naloxone can cause hypertension (high blood pressure) as a side effect due to opioid withdrawal.

Choice B is wrong because decreased nausea is not a therapeutic effect of naloxone. Nausea is a common side effect of morphine, but naloxone does not affect it directly.

Naloxone can actually cause nausea and vomiting as a side effect due to opioid withdrawal.

Choice D is wrong because increased pain relief is not a therapeutic effect of naloxone.

Pain relief is a desired effect of morphine, but naloxone antagonizes it by blocking the opioid receptors.

Naloxone can cause pain and discomfort as a side effect due to opioid withdrawal.

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A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings is a therapeutic effect of naloxone?

Correct Answer is C

Explanation

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A nurse is caring for a client who is taking lithium and reports starting a new exercise program.
The nurse should assess the client for which of the following electrolyte imbalances?