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 B

Explanation

Opioids such as morphine are used to relieve moderate to severe pain in cancer patients.

Choice A is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used to relieve mild pain, not moderate pain.

Choice C is wrong because acetaminophen may be used to relieve mild pain, not moderate pain.

Choice D is wrong because aspirin is an NSAID that may be used to relieve mild pain, not moderate pain.

A. Platelets within the expected reference range. B. Decreased INR. C. Presence of pedal pulses bilaterally. D. Reduced calf circumference.

Correct Answer is D

Explanation

Heparin therapy is used to prevent thrombus propagation and distal embolization while allowing the endogenous fibrinolytic system to dissolve existing clots in deep-vein thrombosis (DVT)1.

A reduction in calf circumference may indicate that the clot is dissolving and the therapy is effective.

Choice A is wrong because platelets within the expected reference range do not necessarily indicate that heparin therapy for DVT is effective.

Choice B is wrong because INR (International Normalized Ratio) is used to monitor warfarin therapy, not heparin therapy.

Choice C is wrong because the presence of pedal pulses bilaterally does not necessarily indicate that heparin therapy for DVT is effective.

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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?