A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.
Withhold dose if having a fine hand tremor.
Avoid foods with a high tyramine content.
Limit daily fluid intake.
Follow a low-sodium diet.
The Correct Answer is A
Choice A rationale:
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.
Choice B rationale:
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.
Choice C rationale:
Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.
Choice D rationale:
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.
So, the correct answer is, none of the above.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
Step 1 is to calculate the volume of medication to administer. The formula is desired dose ÷ available dose × available volume. So, (300 mg ÷ 250 mg) × 5 mL = 6 mL.
So, the correct answer is 6 mL.
Correct Answer is B
Explanation
Step 1 is B. Remain with the client and call for help. This ensures the client’s safety and gets additional assistance. Step 2 is D. Place the client in the lateral position. This prevents aspiration if the client vomits. Step 3 is C. Check the client for injuries. After the seizure has ended, the nurse should assess for any injuries that may have occurred during the seizure. Step 4 is A. Reorient and reassure the client. After a seizure, the client may be confused and scared. Reorienting and reassuring the client can help them recover. So, the correct sequence is B, D, C,
A.
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