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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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Taking cholestyramine with food may interfere with its absorption, reducing its effectiveness.

B. Taking cholestyramine without food is not typically recommended.

C. Taking cholestyramine in the morning is not specifically indicated; it can be taken at any time of the day.

D. Taking cholestyramine with large amounts of fluid helps prevent gastrointestinal side effects and improves its effectiveness in lowering cholesterol levels.

A. ibuprofen (Motrin) B. Ranitidine (Zantac) C. Digoxin (Lanoxin) D. Acetaminophen (Tylenol)

Correct Answer is C

Explanation

A. Ibuprofen is not typically contraindicated with calcium channel blockers.

B. Ranitidine is not typically contraindicated with calcium channel blockers.

C. Digoxin, a cardiac glycoside, can interact with calcium channel blockers, leading to increased levels of digoxin and potential toxicity.

D. Acetaminophen is not typically contraindicated with calcium channel blockers.

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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?

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Naxlex Comprehensive Predictor Exams

The client is going to be started on cholestyramine (Questran), 6 mg three times daily.What instruction should the nurse provide to this client?

Correct Answer is D

Explanation

The patient is instructed when taking calcium channel blockers to use extreme caution when taking which of the following medications?

Correct Answer is C

Explanation

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