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.

Answer and Explanation

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.

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Correct Answer is ["7.5"]

Explanation

To calculate the volume of fluoxetine to administer, we need to use the formula for dose conversion.

Step 1 is to set up the equation: 30 mg (desired dose) ÷ (20 mg/5 mL). This simplifies to 30 mg × (5 mL/20 mg). The mg units cancel out, leaving us with the volume in mL.

So, the correct answer is 7.5 mL.

A. Chill the medication prior to administration. B. Hold the dropper against the ear canal while instilling the medication. C. Apply gentle pressure with a finger to the tragus of the ear. D. Straighten the external auditory canal by pulling it down and back.

Correct Answer is C

Explanation

The correct answer is choice C. Apply gentle pressure with a finger to the tragus of the ear.

Choice A rationale:

Chilling the medication prior to administration is not recommended. Cold ear drops can cause dizziness or discomfort when instilled into the ear. It is generally advised to warm the drops to body temperature by holding the bottle in your hands for a few minutes before administration.

Choice B rationale:

Holding the dropper against the ear canal while instilling the medication is incorrect. The dropper should be held above the ear canal to avoid contamination and injury. Touching the dropper to the ear canal can introduce bacteria and cause infection.

Choice C rationale:

Applying gentle pressure with a finger to the tragus of the ear helps to facilitate the flow of the medication into the ear canal. This action helps to ensure that the medication reaches the affected area effectively.

Choice D rationale:

Straightening the external auditory canal by pulling it down and back is incorrect for adults. For adults, the correct method is to pull the ear up and back to straighten the ear canal. Pulling it down and back is the method used for children.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules. Available is fluoxetine 20 mg/5 mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.)

Correct Answer is ["7.5"]

Explanation

A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take?.

Correct Answer is C

Explanation

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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?.