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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Slow heart rate and difficulty standing are not typical symptoms of angina.
B. Chest pain that occurs on physical exertion or emotional stress is the classic symptom of angina, caused by reduced blood flow to the heart muscle.
C. Sudden weakness with a severe headache could suggest other medical issues such as a stroke, not angina.
D. Difficulty breathing and increased temperature are not specific to angina and could indicate other health problems like infection or respiratory issues.
Correct Answer is B
Explanation
A. Avoiding tyramine-containing foods is relevant for patients taking MAOIs, not SSRIs.
B. Sexual dysfunction, including decreased libido and difficulty achieving orgasm, is one of the most common adverse effects of SSRIs and should be discussed during patient education.
C. Signs and symptoms of hypertension are not directly related to SSRIs; they may occur with other medications or conditions.
D. Tremors are not as common with SSRIs compared to other classes of antidepressants such as tricyclic antidepressants.
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