A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse plan to take?
Restrict fluid intake to 1.5 liters/day
Administer a loop diuretic
Administer an additional dose of lithium
Prepare the client for hemodialysis
The Correct Answer is D
Explanation:
A. Restricting fluid intake is not the appropriate action for a high lithium level.
B. Administering a loop diuretic is not appropriate for treating lithium toxicity.
C. Administering an additional dose of lithium would worsen the toxicity and is contraindicated.
D. Hemodialysis is the treatment of choice for severe lithium toxicity to rapidly remove excess lithium from the bloodstream.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. GABA (gamma-aminobutyric acid) is not typically targeted by antidepressants.
B. While some antidepressants may indirectly affect epinephrine and norepinephrine levels, the primary mechanism of action for most antidepressants is through increasing levels of serotonin and/or norepinephrine.
C. Antidepressants commonly work by increasing the levels of neurotransmitters such as norepinephrine and serotonin in the brain.
D. The reticular formation is not directly involved in the mechanism of action of antidepressants.
Correct Answer is C
Explanation
A. Total cholesterol levels alone do not provide sufficient information about the lipid profile; it is important to assess individual components such as LDL, HDL, and triglycerides.
B. Very low-density lipoprotein (VLDL) is associated with increased risk of cardiovascular disease when elevated, so it should not be high.
C. Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol, and lower levels are associated with reduced risk of cardiovascular disease.
D. High-density lipoprotein (HDL) cholesterol is often referred to as "good" cholesterol, and higher levels are associated with reduced risk of cardiovascular disease.
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