A nurse is reviewing a client's laboratory results prior to administering the client's medications. The nurse notes that the client's lithium level is 2.0 mEq/L. Which of the following findings should the nurse expect?
Hypoglycemia
Constipation
Muscle irritability
Increased BP
The Correct Answer is C
A. Hypoglycemia
Lithium does not typically affect blood glucose levels.
B. Constipation
Diarrhea, not constipation, is a more common symptom of lithium toxicity.
C. Muscle irritability
Muscle weakness, tremors, and neuromuscular irritability are signs of lithium toxicity (level >1.5 mEq/L).
D. Increased BP
Lithium toxicity does not cause hypertension; it may actually cause hypotension in severe cases.
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Related Questions
Correct Answer is D
Explanation
A. Tachycardia
Bradycardia (not tachycardia) is more common during withdrawal.
B. Weight loss
Weight gain, not loss, is a more likely withdrawal effect due to increased appetite.
C. Vomiting
Gastrointestinal upset may occur, but vomiting is not a primary symptom of nicotine withdrawal.
D. Nervousness
Nervousness, irritability, restlessness, and difficulty concentrating are common symptoms of acute nicotine withdrawal.
Correct Answer is {"dropdown-group-1":"F","dropdown-group-2":"D"}
Explanation
The nurse should first address the client's pelvic ultrasound, followed by the client's quantitative beta-hCG.
Pelvic ultrasound is urgent to evaluate for possible ectopic pregnancy, especially given:
- Positive urine and abnormally low progesterone
- Discrepant and confusing hCG levels
- Right lower quadrant tenderness, spotting, and history of PID—all red flags for ectopic.
Quantitative beta-hCG interpretation becomes meaningful after imaging; it supports or confirms what the ultrasound suggests (e.g., nonviable pregnancy, ectopic gestation).
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