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A nurse is caring for a client who is taking lithium. The nurse should monitor for which of the following findings as an adverse effect of the medication?

Positive Chvostek's sign

Increased potassium level

Constipation

Increased urinary output

Answer and Explanation

The Correct Answer is D

A. Chvostek’s sign is associated with hypocalcemia, not lithium toxicity.

B. Lithium does not increase potassium levels; it may cause mild hyponatremia.

C. Lithium is more commonly associated with diarrhea, not constipation.

D. Lithium can cause nephrogenic diabetes insipidus, leading to increased urinary output.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Nylon socks should be avoided as they do not allow moisture to escape, which can promote fungal infections.

B. Toenails should be trimmed straight across rather than rounded to prevent ingrown toenails, which can lead to infections.

C. This is the correct answer. Clients with peripheral vascular disease (PVD) should use lamb’s wool between toes that rub together to prevent pressure ulcers and skin breakdown.

D. Compression stockings can be harmful in PVD if not prescribed by a provider because they may impair circulation further.

A. Place the client in Trendelenburg position. B. Reinsert the protruding intestinal tissue. C. Cover the wound with a saline-soaked dressing. D. Monitor vital signs every 30 min.

Correct Answer is C

Explanation

A. Placing the client in Trendelenburg position is incorrect because this position does not reduce tension on the abdominal wound and may increase intra-abdominal pressure.

B. Reinserting the protruding intestinal tissue is incorrect because this can introduce infection and cause further damage.

C. This is the correct answer. The priority action is to cover the wound with a sterile, saline-moistened dressing to prevent tissue drying and reduce infection risk.

D. Monitoring vital signs is important, but the priority is to protect the exposed abdominal contents.

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A nurse is caring for a client who is taking lithium. The nurse should monitor for which of the following findings as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like "something opened up." The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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