In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

Fats

Protein

Sodium

Potassium

Answer and Explanation

The Correct Answer is C

Choice A rationale: fats are directly related to lithium therapy and does not require any special monitoring during the drug’s intake.
Choice B rationale: proteins do not affect the blood levels of lithium hence they do not require any special monitoring during the drug’s intake.
Choice C rationale: Lithium is a salt that can affect the fluid and electrolyte balance in the body and competes with sodium for their reabsorption in the kidneys.
Therefore, if the client consumes too much or too little sodium, it can alter the level of lithium in the blood and cause toxicity or ineffectiveness hence the need for close monitoring.
Choice D rationale: potassium does not affect the blood levels of lithium hence no special monitoring during intake is required.

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Correct Answer is C

Explanation

Choice A rationale: Excessive noise does impact the professional environment, but the primary concern is its potential impact on clients rather than the appearance of the mental health unit.
Choice B rationale: Excessive noise is more likely to disturb clients by causing insomnia and irritability rather than promoting relaxation.
Choice C rationale: Excessive noise in a mental health unit can disrupt the therapeutic environment and interfere with clients' thinking processes and perceptions by triggering anxiety, aggression, and anxiety. Therefore, maintaining a calm and quiet atmosphere supports mental health treatment.
Choice D rationale: There is no indication that excessive client noise is encouraged by the staff. However, the main concern is the impact of the staff noise on clients.

A. A decrease in white blood cells B. A low hemoglobin levels C. An increase in white blood cells D. Blood in the urine

Correct Answer is A

Explanation

Choice A rationale: Clozapine is an antipsychotic medication associated with agranulocytosis which is a condition where the bone marrow does not provide enough white blood cells. This increases an individual’s risk of infections. Therefore, frequent blood tests should be performed on an individual taking this medication to monitor the WBC count and stop the medication if need be.
Choice B rationale: clozapine is not associated with a low hemoglobin level. Anemia may be caused by conditions such as iron deficiency, chronic conditions such as chronic kidney disease, and vitamin B12 deficiency.
Choice C rationale: An increase in white blood cell count is not a side effect of clozapine but can be caused by infections. Clozapine causes low white blood cell count.
Choice D rationale: blood in urine is not a side effect of clozapine but can be caused by the use of medications such as cyclophosphamide.

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In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the night shift, several staff members are being loud at the nurses' station of an inpatient mental health unit. A nurse asks them to hold down the noise." The nurse has asked this of the staff most likely because she knows that excessive noise

Correct Answer is C

Explanation

A client is on Clozaril (Clozapine). The nurse is aware that frequent blood work is essential during the first 6 months of treatment to monitor for the presence of what?

Correct Answer is A

Explanation

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In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of: