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?

Thyroid enlargement

Constipation

Hyporeflexia

Elevated blood pressure

Answer and Explanation

The Correct Answer is A

A.   Lithium can cause hypothyroidism and goiter as adverse effects. Therefore, monitoring of thyroid function and physical examination for thyroid enlargement is necessary during lithium therapy.
B.   Constipation is not a typical adverse effect of lithium carbonate. It's more commonly associated with side effects such as nausea, diarrhea, or polyuria.

C.   Hyporeflexia is not commonly associated with lithium carbonate use. Lithium more commonly affects the central nervous system, leading to symptoms such as tremors, confusion, and seizures in cases of toxicity.
D.   Lithium is more commonly associated with the opposite effect, lowering blood pressure rather than elevating it. It's known to have effects on sodium transport in renal tubules, leading to increased water retention and possibly hypotension.

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Correct Answer is D

Explanation

A. Prone position (lying face down) is not appropriate for administering vaginal cream.

B. Orthopneic position (sitting up and leaning slightly forward) is not conducive to administering vaginal cream.

C. Sims' position (lying on the left side with the right knee drawn up and the left arm drawn behind, often used for rectal examinations) is not typically used for administering vaginal cream.
D. The dorsal recumbent position, lying on the back with knees flexed and soles of feet flat on the bed, is typically recommended for administering vaginal cream. This position allows for easier insertion and retention of the medication.

A. Postpartum infection B. Hypertension C. Postpartum hemorrhage D. Thromboembolic events

Correct Answer is C

Explanation

A. Methylergonovine is not indicated for preventing postpartum infections. Its primary action is on uterine smooth muscle to induce contractions, rather than having antimicrobial properties.
B. While methylergonovine can cause hypertension as a side effect, it's not used to prevent hypertension. It is used primarily to prevent or treat postpartum hemorrhage by promoting uterine contraction.
C. Methylergonovine is a uterotonic medication used to prevent or treat postpartum hemorrhage by causing uterine contractions, thereby reducing the risk of excessive bleeding after childbirth.
D. Methylergonovine does not prevent thromboembolic events; its mechanism of action primarily involves stimulation of uterine smooth muscle contraction rather than affecting blood coagulation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Correct Answer is D

Explanation

A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is having a therapeutic effect?

A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse recognize as potentially interacting with the client's prescribed lithium?

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