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 ["0.5"]

Explanation

Step 1 is to determine the amount of lorazepam that needs to be administered, which is 1 mg.

Step 2 is to calculate the volume of lorazepam oral solution needed to deliver this dose. This is done using the formula:

Dose (mg) ÷ Concentration (mg/mL)

Given that the solution has a concentration of 2 mg/mL, we calculate:

1 mg ÷ 2 mg/mL = 0.5 mL

Therefore, the nurse should administer 0.5 mL of lorazepam oral solution.

A. A client who has schizophrenia and is taking an antipsychotic medication. B. A client who has type 2 diabetes mellitus and is taking insulin. C. A client who has chronic pancreatitis and is taking pancreatic enzymes. D. A client who has hypertension and is taking a beta-adrenergic blocker.

Correct Answer is A

Explanation

Choice A rationale:

Antipsychotic medications can cause extrapyramidal symptoms, which include involuntary muscle contractions and tremors.

Choice B rationale:

Insulin, used to treat type 2 diabetes mellitus, does not typically cause extrapyramidal symptoms.

Choice C rationale:

Pancreatic enzymes, used to treat chronic pancreatitis, are not associated with extrapyramidal symptoms.

Choice D rationale:

Beta-adrenergic blockers, used to treat hypertension, do not typically cause extrapyramidal symptoms.

So, the correct answer is A, A client who has schizophrenia and is taking an antipsychotic medication.

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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 lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets. Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.)

Correct Answer is ["0.5"]

Explanation

A nurse is reviewing the medication administration records of a group of clients who have been newly admitted to a long-term care facility.Which of the following clients should the nurse monitor for extrapyramidal symptoms?.

Correct Answer is A

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?.