A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?

Administer the regular dose of lithium.

Contact the laboratory to repeat the lithium level.

Obtain an ECG and institute seizure precautions.

Contact the provider to prescribe an increased dose of lithium.

Answer and Explanation

The Correct Answer is A

A.   A lithium level of 1.2 mEq/L falls within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder. Therefore, the nurse should administer the regular dose of lithium as prescribed and closely monitor the client for any side effects.
B.   Repeating the lithium level is unnecessary because the current level is within the therapeutic range. Repeated testing may be warranted if the level is outside the therapeutic range or if there are clinical concerns.
C.   This action is not indicated for a lithium level within the therapeutic range. ECG and seizure precautions are typically reserved for lithium toxicity, which presents with levels above the therapeutic range.
D.   Increasing the dose of lithium is not warranted when the current level is within the therapeutic range. Doing so could increase the risk of toxicity.

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Correct Answer is B

Explanation

A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

A. 1 cup (8oz) of applesauce B. 1 cup (8oz) plain low-fat yogurt C. 1 oz of cheddar cheese D. 1 cup (8 oz) cooked spinach

Correct Answer is A

Explanation

A. Levodopa/carbidopa is often prescribed to manage Parkinson's disease symptoms. Taking it with applesauce, or other light, easily digestible foods, can help reduce nausea, a common side effect of the medication.
B. While yogurt is generally well-tolerated, it may not be as effective in reducing nausea as applesauce.
C. Cheese is not typically recommended to take with levodopa/carbidopa for nausea relief.

D. Spinach is not commonly used to alleviate nausea associated with levodopa/carbidopa intake.

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A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

Correct Answer is B

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Correct Answer is A

Explanation

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