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.”.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale:
Benadryl (Diphenhydramine) is an antihistamine that can be used to treat extrapyramidal symptoms (EPS)5.
Choice B rationale:
Artane (Trihexyphenidyl) is an anticholinergic medication used to treat EPS5.
Choice C rationale:
Flumazenil is not typically used to treat EPS5.
Choice D rationale:
Cogentin (Benztropine) is an anticholinergic medication used to treat EPS5.
Choice E rationale:
Acetylcysteine is not typically used to treat EPS5.

A. Twisting tongue movements. B. Shuffling gait. C. Sudden onset of high fever. D. Constant tapping of feet when sitting.

Correct Answer is A

Explanation

Choice A rationale:

Twisting tongue movements are a common symptom of tardive dyskinesia (TD), a side effect of long-term use of antipsychotic medications like fluphenazine.

Choice B rationale:

Shuffling gait is more commonly associated with Parkinson’s disease and certain antipsychotic medications can cause Parkinson-like symptoms, but it is not a characteristic of TD2.

Choice C rationale:

Sudden onset of high fever is not associated with TD. It could be a sign of a serious condition like neuroleptic malignant syndrome, which requires immediate medical attention.

Choice D rationale:

Constant tapping of feet when sitting could be a sign of restlessness or akathisia, another potential side effect of antipsychotic medications, but it is not a specific sign of TD2.

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A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy. You understand that the following medications are used to reverse EPS. (Select All that Apply.).

Correct Answer is ["A","B","D"]

Explanation

A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?.

Correct Answer is A

Explanation

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A nurse is teaching a client who has bipolar disorder about lithium.

Which of the following statements should the nurse include in the teaching?.