A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium.
To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication? .
Liver enzymes
Uric acid.
Sodium level.
Erythrocyte sedimentation rate.
The Correct Answer is C
Choice A rationale:
While liver enzymes are important to monitor for many medications, they are not typically affected by lithium.
Choice B rationale:
Uric acid levels are not typically affected by lithium.
Choice C rationale:
Lithium can affect the sodium levels in the body, making it important to monitor these levels while taking this medication.
Choice D rationale:
Erythrocyte sedimentation rate is not typically affected by lithium.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Documenting the client’s behavior every hour is not necessary. The nurse should monitor and document the client’s condition, but this does not need to be done every hour.
Choice B rationale:
Providing range-of-motion exercises to all extremities every 2 hours is important when a client is in restraints. This helps to prevent muscle stiffness and maintain circulation.
Choice C rationale:
The provider does not need to renew the prescription every 24 hours. The use of restraints should be reassessed regularly, but a new prescription is not required unless the restraints are removed and then need to be reapplied.
Choice D rationale:
Keeping staff interactions with the client to a minimum is not recommended. The client should be monitored closely and regular interaction can help to calm the client and reduce the need for restraints.
Correct Answer is A
Explanation
Choice A rationale:
Making a personal introduction to the client at each interaction is a recommended approach for clients with dementia. It helps to orient the client and establish a connection, which can reduce confusion and anxiety.
Choice B rationale:
Giving a client with dementia a list of foods to choose from for dinner may be overwhelming due to impaired decision-making abilities.
Choice C rationale:
Choice D rationale:
Providing a dark environment for sleeping can be disorienting for a client with dementia. A low level of light can help the client maintain orientation to their surroundings.
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