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

Hypokalemia

Hypocalcemia

Hyponatremia

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.

Choice B rationale:

Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.

Choice C rationale:

Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.

Choice D rationale:

Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.

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Correct Answer is B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit; it's more indicative of fluid retention.

Choice B rationale:

Oliguria refers to decreased urine output and can be a sign of fluid volume deficit.

Choice C rationale:

Nausea can be caused by various factors, including gastrointestinal issues, but it's not a specific indicator of fluid volume deficit.

Choice D rationale:

Headaches can have multiple causes and are not a direct sign of fluid volume deficit.

A. "You should anticipate taking medication to treat your disease for at least the next 3 years." B. "You should report monthly to have your blood drawn to monitor kidney function while taking medication." C. "You will need to take two or more medications to treat your disease." D. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."

Correct Answer is C

Explanation

Choice A rationale:

The treatment duration for active pulmonary tuberculosis is usually shorter than 3 years.

Choice B rationale:

Monitoring kidney function is not the primary focus of tuberculosis medication management.

Choice C rationale:

Treatment for active pulmonary tuberculosis involves using a combination of two or more medications to prevent drug resistance and effectively treat the infection.

Choice D rationale:

Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.

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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

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