A nurse is teaching a client who has bipolar disorder about lithium.
Which of the following statements should the nurse include in the teaching?.
"Take the medication on an empty stomach.”.
"You might produce extra saliva while taking this medication.”.
"Notify your provider if you experience vomiting or diarrhea.”.
"Decrease your fluid intake to 1 liter per day.”.
The Correct Answer is C
Choice A rationale:
Taking lithium on an empty stomach is not necessary. Lithium can be taken with or without food.
Choice B rationale:
Excessive salivation is not a common side effect of lithium.
Choice C rationale:
Vomiting or diarrhea can lead to dehydration, which increases the risk of lithium toxicity by reducing the excretion of lithium. Therefore, it’s important to notify your provider if you experience these symptoms.
Choice D rationale:
Decreasing fluid intake can lead to dehydration and increase the risk of lithium toxicity. It’s recommended to maintain a normal fluid intake while taking lithium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Extrapyramidal symptoms are a common adverse effect of haloperidol.
Choice B rationale:
Intractable hiccups are not typically associated with haloperidol.
Choice C rationale:
Fever is not a common side effect of haloperidol, but could indicate a serious condition like neuroleptic malignant syndrome.
Choice D rationale:
Excessive salivation is not typically a side effect of haloperidol.
Correct Answer is A
Explanation
Choice A rationale:
A serum lithium level of 1.6 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and can cause symptoms such as GI discomfort and poor coordination.
Choice B rationale:
Lip smacking and tongue thrusting are not typically associated with lithium toxicity.
Choice C rationale:
While blurred vision can be a symptom of lithium toxicity, jerking motor movements are not typically associated with this condition.
Choice D rationale:
Fever and fluctuating blood pressure are not typically symptoms of lithium toxicity.
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