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 C
Explanation
Choice A rationale:
The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.
Choice B rationale:
Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.
Choice C rationale:
This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.
Choice D rationale:
Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.
So, the correct answer is C, after analyzing all choices.
Correct Answer is ["2 tablets"]
Explanation
Step 1 is to determine the amount of lorazepam needed. The prescription is for 2 mg and each tablet contains 1 mg. Step 2 is to divide the total amount needed by the amount per tablet: 2 mg ÷ 1 mg/tablet. This gives us 2 tablets.
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