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 C

A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.

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Correct Answer is C

Explanation

The nurse should instruct the client to administer the medication through clothing if necessary.

In an emergency, an epinephrine auto-injector can be given through clothing.
Choice A is wrong because massaging the site after injection is not mentioned as something to avoid in the instructions for using an epinephrine auto-injector.
Choice B is wrong because the medication should be injected into the outer thigh, not the abdomen.
Choice D is wrong because aspiration prior to administration of the medication is not mentioned as a necessary step in the instructions for using an epinephrine auto-injector.

A. Liver toxicity. B. Hypoglycemia. C. Hemolytic anemia. D. Bone loss.

Correct Answer is D

Explanation

Prednisone is a corticosteroid that can be used to treat rheumatoid arthritis and other conditions by reducing inflammation and suppressing the immune system.

However, long-term use of prednisone can cause side effects, including bone loss.

Choice A is wrong because liver toxicity is not a common side effect of prednisone.

Choice B is wrong because hypoglycemia is not a common side effect of prednisone; instead, elevated blood sugar is a possible side effect.

Choice C is wrong because hemolytic anemia is not a common side effect of prednisone.

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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?