A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity.

Which of the following statements by the client indicates an understanding of the teaching?

"Increased flatulence is an indication of toxicity.”.

"Vomiting is an indication of toxicity.”.

"I will report any loss of appetite.”.

"I will call my provider if I experience any headaches.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Increased flatulence is not typically associated with lithium toxicity.
Choice B rationale:
Vomiting is a common symptom of lithium toxicity, indicating the client understands the teaching.
Choice C rationale:
While loss of appetite can occur in various conditions, it’s not a specific indicator of lithium toxicity.
Choice D rationale:
Headaches can be caused by various factors and are not specifically associated with lithium toxicity.

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Correct Answer is A

Explanation

Choice A rationale:
Having consistent unit routines can provide a sense of stability and predictability, which can be beneficial for a client in the manic phase of bipolar disorder.
Choice B rationale:
Providing a stimulating environment can potentially exacerbate symptoms of mania, making it an inappropriate intervention.
Choice C rationale:
Scheduling daily seclusion times is not typically recommended as it can lead to feelings of isolation.
Choice D rationale:
Discouraging daytime napping can potentially lead to fatigue and worsen symptoms, so it’s not typically recommended.

A. Ensure the client goes to group activities as planned. B. Use distraction such as the television or music. C. Provide reassurance and comfort ensuring the client is safe. D. Give PRN medications to treat increased hallucinations.

Correct Answer is C

Explanation

Choice A rationale:
Ensuring the client goes to group activities as planned is important, but not the priority when the client is confused and has distorted thinking.
Choice B rationale:
Using distraction such as television or music can be helpful, but it is not the priority intervention.
Choice C rationale:
Providing reassurance and comfort ensuring the client is safe is the priority as it directly addresses the client’s immediate needs.
Choice D rationale:
Giving PRN medications to treat increased hallucinations may be necessary, but it is not the first action to take.

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A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity.

Which of the following statements by the client indicates an understanding of the teaching?