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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?

Hypomagnesemia

Hypokalemia

Hypocalcemia

Hyponatremia

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Starting a new exercise program is not directly associated with the development of hypomagnesemia.

Choice B rationale:

Starting a new exercise program is not directly associated with the development of hypokalemia.

Choice C rationale:

Starting a new exercise program is not directly associated with the development of hypocalcemia.

Choice D rationale:

Excessive sweating during exercise, especially in hot conditions, can lead to loss of sodium through sweat, potentially resulting in hyponatremia. Lithium can also increase the risk of hyponatremia.

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Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.

Choice B rationale:

Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.

Choice C rationale:

Hypoglycemia is not commonly associated with phenytoin use.

Choice D rationale:

Bradycardia is not commonly associated with phenytoin use.

A. "Take this medication 2 hours before a meal." B. "Decrease your daily sodium intake." C. "Limit foods containing tyramine." D. "Report swelling of the feet to your provider."

Correct Answer is B

Explanation

Choice A rationale:

Lithium carbonate should be taken with meals to minimize gastrointestinal upset.

Choice B rationale:

Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.

Choice C rationale:

Tyramine is not typically restricted in clients taking lithium.

Choice D rationale:

Swelling of the feet is not a common adverse effect of lithium carbonate.

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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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