A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.
Which of the following instructions should the nurse include?.
Limit fluid intake to 800 ounces per day while taking this medication.
Take the medication on an empty stomach.
Wait up to 3 weeks to see the full effects of the medication.
Follow a low-sodium diet.
The Correct Answer is C
Choice A rationale:
The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.
Choice B rationale:
Lithium can be taken with or without food. This instruction is not necessary.
Choice C rationale:
It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.
Choice D rationale:
The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.
So, the correct answer is C, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.
Choice B rationale:
Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.
Choice C rationale:
Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.
Choice D rationale:
Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.
So, the correct answer is C. Keep familiar personal items in client’s room.
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