A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder.
Which of the following statements should the nurse include in the teaching?
"You will need to stop this medication if you experience diarrhea.”.
"You will need to take this medication on an empty stomach.”.
"You will need to consume a low-salt diet while on this medication.”.
"You will need your blood levels drawn weekly during the first month.”.
None
None
The Correct Answer is D
Choice A rationale:
Diarrhea is not a specific reason to stop lithium. However, severe diarrhea can affect lithium levels and should be reported to a healthcare provider.
Choice B rationale:
Lithium does not need to be taken on an empty stomach. It can be taken with or without food.
Choice C rationale:
A low-salt diet is not recommended while on lithium. In fact, a consistent, normal sodium intake is important because low sodium levels can cause lithium levels to become too high.
Choice D rationale:
Regular blood tests are necessary when taking lithium to ensure therapeutic levels and prevent toxicity. Weekly blood tests may be required during the first month of treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Asking “What are the voices telling you to do?” shows empathy and concern without validating the hallucination.
Choice B rationale:
Asking “Why do you think you are hearing the voices?” might imply that the nurse is validating the hallucination.
Choice C rationale:
Telling the client “You need to understand that there are no voices.”. might make the client feel misunderstood.
Choice D rationale:
Telling the client “You need to tell the voices to leave you alone.”. is not recommended as it might validate the hallucination.
Correct Answer is A
Explanation
Choice A rationale:
Extrapyramidal symptoms are a common adverse effect of haloperidol.
Choice B rationale:
Intractable hiccups are not typically associated with haloperidol.
Choice C rationale:
Fever is not a common side effect of haloperidol, but could indicate a serious condition like neuroleptic malignant syndrome.
Choice D rationale:
Excessive salivation is not typically a side effect of haloperidol.
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