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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Close the doors and windows on the unit – While containing the fire is important, it is not the first priority. Activating the fire alarm ensures facility-wide response and safety protocols.
B. Activate the fire alarm system – This is the first action because it alerts emergency responders and allows evacuation protocols to begin. Timely activation prevents the fire from spreading and ensures prompt intervention.
C. Obtain and use a fire extinguisher – Fire extinguishers are used only for small, contained fires and should be handled by trained personnel after activating the alarm.
D. Evacuate clients from the area – While evacuation is critical, activating the fire alarm ensures a coordinated evacuation plan rather than causing panic.
Correct Answer is C
Explanation
A. Weigh the client every 48 hr. – Clients with anorexia nervosa should be weighed daily at the same time to monitor for fluctuations in weight and refeeding complications.
B. Allow the client to eat meals in his room. – Clients should eat meals in a monitored dining area to prevent food hoarding, purging, or avoidance of meals.
C. Observe the client for 1 hr after meals. – This is the correct answer because clients with anorexia nervosa are at risk of purging or excessive exercise after meals. Close observation helps prevent these behaviors.
D. Obtain the client’s vital signs every other day. – Vital signs should be monitored daily or more frequently if the client is medically unstable.
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