A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder.
For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.
Constipation.
Thyroid enlargement.
Hyporeflexia.
Elevated blood pressure.
The Correct Answer is B
Choice A rationale:
Constipation is not a common side effect of lithium carbonate.
Choice B rationale:
Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.
Choice C rationale:
Hyporeflexia is not typically associated with lithium carbonate use.
Choice D rationale:
Elevated blood pressure is not a common side effect of lithium carbonate.
So, the correct answer is B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.
Choice B rationale:
Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.
Choice C rationale:
Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.
Choice D rationale:
Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.
So, the correct answer is B.
Correct Answer is A
Explanation
Choice A rationale:
Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.
Choice B rationale:
While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.
Choice C rationale:
The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.
Choice D rationale:
There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use.
So, the correct answer is A.
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