A patient has been admitted and the nurse suspect lithium toxicity. What symptoms should be suspected with a patient who has to
shortness of breath, gastrointestinal distress, chronic cough
weakness, nausea, diarrhea
ECG changes, chest pain, dizziness
gastrointestinal distress, thirst, nystagmus
The Correct Answer is B
Rationale:
A. Shortness of breath and chronic cough are not typical early signs of lithium toxicity; these suggest possible respiratory or cardiac issues unrelated to lithium.
B. Early signs of lithium toxicity include gastrointestinal upset (nausea, diarrhea) and neuromuscular effects such as weakness.
C. ECG changes and chest pain can occur with severe toxicity, but they are not the most common initial symptoms.
D. Thirst may be a side effect of lithium due to nephrogenic diabetes insipidus, and nystagmus can occur in severe neurotoxicity, but these are not the classic early warning signs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Painting is a solitary, creative activity that requires minimal cognitive processing and social interaction, making it suitable for clients experiencing disturbed thoughts.
B. Playing cards requires attention to rules and interaction, which might be difficult during disturbed thoughts.
C. Playing board games often requires sustained concentration and social engagement, which may be overwhelming initially.
D. Playing checkers also requires strategy and focus, which may not be appropriate during acute thought disturbances.
Correct Answer is B
Explanation
Rationale:
A. This approach is confrontational and accusatory, which may escalate agitation in a hyperactive or manic patient.
B. This response sets clear limits in a calm, supportive, and non-threatening manner, while also offering assistance with impulse control.
C. This statement is shaming and could escalate aggression rather than de-escalate the situation.
D. This is a threat rather than a therapeutic intervention, and it may increase the patient's agitation or resistance.
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