A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?

Potassium 4.2 mEq/L

Sodium 136 mEq/L

Calcium 9.0 mg/dL

Creatinine 2.1 mg/dL

Answer and Explanation

The Correct Answer is D

A. Potassium 4.2 mEq/L is within the normal range (3.5–5.0 mEq/L).

B. Sodium 136 mEq/L is slightly low but does not warrant withholding lithium. However, sodium levels should be monitored regularly as low sodium increases the risk of lithium toxicity.

C. A calcium level of 9.0 mg/dL is within the normal range (8.5–10.2 mg/dL).

D. An elevated creatinine level (2.1 mg/dL) indicates possible renal dysfunction, which is a concern for lithium use. Lithium is excreted by the kidneys, and impaired renal function increases the risk of lithium toxicity.

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Correct Answer is B

Explanation

A. Resting in bed may be helpful later, but it does not provide the immediate reassurance and support needed during a panic attack.

B. Remaining with the client provides reassurance, safety, and emotional support during a panic attack, which is essential for de-escalation.

C. Having the client join a therapy group during a panic attack would be overwhelming and inappropriate.

D. Administering a sedative may be considered later but should not be the first intervention, as verbal support and reassurance are the priority during a panic attack.

A. Client demonstrates effective coping strategies B. Client reports reduced hallucinations C. Client demonstrates persistent avoidance behaviors D. Client reports feelings of tension and fatigue.

Correct Answer is A

Explanation

A. A key outcome criterion for clients with anxiety disorder is the ability to demonstrate effective coping strategies, such as relaxation techniques or problem-solving, to manage anxiety.

B. Reduced hallucinations would be a goal for a client with a psychotic disorder, not an anxiety disorder.

C. Persistent avoidance behaviors would indicate that the client’s anxiety is not being effectively managed.

D. Feelings of tension and fatigue are common symptoms of anxiety and would not be considered an appropriate outcome for treatment.

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A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?

Nursing Test Bank

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