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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Crestor (Rosuvastatin) is a statin used for lowering cholesterol levels, not for treating depression.
Choice B rationale: Seroquel (Quetiapine) is an atypical antipsychotic used for various mental health conditions such as schizophrenia, bipolar disorder, and major depressive disorder. However, it is not a first-line treatment for depression.
Choice C rationale: Paxil (Paroxetine) is an antidepressant commonly used in the treatment of depression and other mood disorders. It belongs to the selective serotonin reuptake inhibitor (SSRI) class of medications.
Choice D rationale: Latuda (Lurasidone) is an atypical antipsychotic used in certain psychiatric conditions such as schizophrenia and bipolar depression but is not typically a first-line treatment for depression.
Correct Answer is C
Explanation
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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