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

The nurse should monitor the client for fever as an indication that the client is experiencing an acute infusion reaction to IV amphotericin

Fever is a common symptom of an infusion reaction to amphotericin

Choice A is wrong because pedal edema is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice C is wrong because hyperglycemia is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice D is wrong because dry cough is not a commonly reported symptom of an acute infusion reaction to amphotericin

A. Hypotension. B. Extravasation. C. Headache. D. Chest pain.

Correct Answer is A

Explanation

Dopamine is a medication used to treat hypotension, low cardiac output, and poor perfusion of vital organs.

It is used to increase mean arterial pressure in septic shock patients who remain hypotensive after adequate volume expansion 1.

If the client is still experiencing hypotension while receiving dopamine by continuous IV infusion, the nurse should increase the rate of infusion to improve the client’s blood pressure.

Choice B is wrong because Extravasation, is not the correct answer because it refers to the leakage of IV fluid or medication into the surrounding tissue and is not an indication to increase the rate of dopamine infusion.

Choice C is wrong because Headache, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.

Choice D is wrong because Chest pain, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.

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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

Naxlex Comprehensive Predictor Exams

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is B

Explanation

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is A

Explanation

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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?