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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 A

Explanation

Explanation:

A. Leaving the patch off for a certain period each day helps prevent tolerance, ensuring that the medication remains effective over time.

B. Continuous use of the patch without breaks may lead to tolerance, reducing its effectiveness.

C. Wearing the patch continuously without any breaks could lead to tolerance and decreased efficacy.

D. Wearing the patch off for only 15 minutes would not provide enough time for the medication to have a therapeutic effect and would not address the issue of tolerance.

A. Meperidine (Demerol) B. Calcium channel blockers C. Carbamazepine (Tegretol) D. Dextromethorphan

Correct Answer is B

Explanation

A. Meperidine is contraindicated with monoamine oxidase inhibitors (MAOIs) and can lead to serotonin syndrome rather than being an antidote for hypertensive crisis.

B. Calcium channel blockers, such as nifedipine, are commonly used as antidotes for hypertensive crisis associated with MAOI use.

C. Carbamazepine is not indicated for the treatment of hypertensive crisis associated with MAOI use.

D. Dextromethorphan is contraindicated with MAOIs due to the risk of serotonin syndrome.

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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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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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