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
Related Questions
Correct Answer is A
Explanation
A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.
B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
Correct Answer is A
Explanation
A. Coronary heart disease (CHD) refers to the narrowing or blockage of the coronary arteries due to the buildup of plaque, leading to reduced blood flow to the heart muscle.
B. Cerebrovascular accident (CVA) refers to a stroke, which involves impaired blood flow to the brain rather than the heart.
C. Myocardial infarction (MI) is a heart attack, which occurs when blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies.
D. Angina pectoris is chest pain or discomfort caused by reduced blood flow to the heart muscle.
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