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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. Colesevelam B. Chlorpromazine C. Cimetidine D. Colchicine

Correct Answer is A

Explanation

Choice A rationale:

Colesevelam is a medication used to treat high cholesterol levels by binding bile acids in the intestine, which results in increased bile acid excretion and a decrease in low- density lipoprotein (LDL) cholesterol levels.

Choice B rationale:

Chlorpromazine is an antipsychotic medication and is not used for treating high cholesterol.

Choice C rationale:

Cimetidine is an H2 receptor antagonist used to reduce stomach acid production and is not used for treating high cholesterol.

Choice D rationale:

Colchicine is used to treat gout and certain inflammatory conditions, but it is not used for high cholesterol treatment.

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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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