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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 ["A","B","D","E"]

Explanation

Choice A rationale:

Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.

Choice B rationale:

Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.

Choice C rationale:

The rate of drug absorption tends to decrease with age, not increase.

Choice D rationale:

Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.

Choice E rationale:

Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.

A. Instruct the client to increase his fluid intake. B. Prepare the client for dialysis. C. Check the client's liver function test results. D. Document this as an expected finding.

Correct Answer is D

Explanation

Choice A rationale:

Increased fluid intake is not likely to change the color of urine and sweat caused by rifampin.

Choice B rationale:

Dialysis is not indicated for managing the red-orange discoloration caused by rifampin.

Choice C rationale:

Rifampin can affect liver function, but the red-orange discoloration is not primarily related to liver function.

Choice D rationale:

Red-orange discoloration of urine, sweat, and other body fluids is an expected side effect of rifampin and does not require any specific interventions.

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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

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Explanation

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