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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. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

B. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

C. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

D. To calculate the volume needed; dose/concentration = 6/15 = 0.4 mL.

A. Chew sugarless gum to prevent dry mouth B. Expect therapeutic effects in 24 to 48 hours C. Decrease dietary fiber intake to control diarrhea D. Discontinue the medication after a week of improved mood E. Change positions slowly to minimize dizziness

Correct Answer is ["A","E"]

Explanation

Explanation:

A. Imipramine commonly causes dry mouth as a side effect, so chewing sugarless gum can help alleviate this symptom.

B. Therapeutic effects of imipramine may not be felt until after several weeks of treatment, rather than within 24 to 48 hours.

C. Increasing dietary fiber intake can help alleviate constipation, a common side effect of imipramine, rather than decreasing it.

D. Discontinuing antidepressant medication abruptly, especially after a short period, can lead to withdrawal symptoms and a recurrence of depressive symptoms.

E. Imipramine can cause orthostatic hypotension, leading to dizziness upon standing, so changing positions slowly can help minimize this risk.

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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

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