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 A

Explanation

A. Levodopa/carbidopa is often prescribed to manage Parkinson's disease symptoms. Taking it with applesauce, or other light, easily digestible foods, can help reduce nausea, a common side effect of the medication.
B. While yogurt is generally well-tolerated, it may not be as effective in reducing nausea as applesauce.
C. Cheese is not typically recommended to take with levodopa/carbidopa for nausea relief.

D. Spinach is not commonly used to alleviate nausea associated with levodopa/carbidopa intake.

A. Decreased libido is an adverse effect of the medication. B. Prostate-specific antigen (PSA) levels will increase while taking this medication. C. Avoid taking the medication with grapefruit juice. D. Expect to experience a response from the medication in 1 week.

Correct Answer is A

Explanation

A. Decreased libido is a potential adverse effect of finasteride due to its action on reducing dihydrotestosterone levels.
B. Prostate-specific antigen (PSA) levels typically decrease while taking finasteride, not increase. It's important for the nurse to educate the client about the potential impact of finasteride on PSA levels and the interpretation of PSA tests.
C. Avoiding grapefruit juice is not specifically relevant to the use of finasteride. Grapefruit juice can interact with certain medications by affecting their metabolism, but this is not a concern with finasteride.
D. The effects of finasteride on BPH symptoms may take several months to become noticeable.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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