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 B

Explanation

A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

A. Avocadoes B. 2% milk C. Sliced apples D. Celery sticks

Correct Answer is A

Explanation

A. Tyramine is found in various foods and its levels increase when food is aged or fermented. Avocados, especially if they are overripe, can contain higher levels of tyramine compared to the other options listed. It is important for individuals taking MAOIs to manage their intake of tyramine-rich foods to avoid adverse reactions.
B. 2% milk does not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.

C. Sliced apples do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
D. Celery sticks do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.

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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

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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