A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is.6 mEq/L.
Which of the following actions should the nurse take?

Assist the client to a left lateral position.

Implement fluid restrictions.

Request a dosage increase from the provider.

Prepare the client for hemodialysis.

Answer and Explanation

The Correct Answer is D

A lithium level of.6 mEq/L is considered toxic and can cause serious side effects.

Hemodialysis is a treatment that can quickly remove excess lithium from the body and may be necessary in cases of severe toxicity.

Choice A is wrong because assisting the client to a left lateral position will not help reduce the lithium level.

Choice B is wrong because implementing fluid restrictions can worsen lithium toxicity.

Choice C is wrong because requesting a dosage increase from the provider would further increase the lithium level and worsen toxicity.

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Correct Answer is B

Explanation

This is because naloxone is an opioid antagonist that rapidly reverses an opioid overdose by attaching to opioid receptors and reversing and blocking the effects of other opioids.

It can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose.

Choice A is wrong because decreased nausea is not a therapeutic effect of naloxone.

Choice C is wrong because decreased blood pressure is not a therapeutic effect of naloxone.

Choice D is wrong because increased pain relief is not a therapeutic effect of naloxone.

A. Place the medication on the client's tongue for dissolution. B. Dissolve the medication in water before administering it. C. Insert the medication against the mucous membrane of the cheek. D. Instruct the client to swallow the medication with a sip of water.

Correct Answer is C

Explanation

Fentanyl buccal film is a small film that sticks to the inside of the cheek and eventually dissolves within 15 to 30 minutes after it is applied.

It is used to manage breakthrough pain in patients with cancer who are already using another opioid pain medicine around-the-clock.

Choice A is wrong because the medication should not be placed on the client’s tongue for dissolution.

Choice B is wrong because the medication should not be dissolved in water before administering it.

Choice D is wrong because the client should not be instructed to swallow the medication with a sip of water.

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A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is.6 mEq/L. Which of the following actions should the nurse take?

Nursing Test Bank

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A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is.6 mEq/L.
Which of the following actions should the nurse take?