The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?
Sleepiness
Relaxed appearance
Calm behavior
Hyperactivity
The Correct Answer is D
A. Sleepiness is not typically associated with a low lithium level.
B. A relaxed appearance is not typically associated with a low lithium level.
C. Calm behavior is not typically associated with a low lithium level.
D. A lithium level of 0.3 mEq/L is considered below the therapeutic range, which typically falls between 0.6 and 1.2 mEq/L. Therefore, a nurse would expect to assess symptoms of under-medication, such as potential recurrence of manic symptoms, such hyperactivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. ACE inhibitors may be started later to manage heart failure or hypertension after a heart attack but are not typically given acutely during a myocardial infarction.
B. Thrombolytics, such as alteplase, are given as soon as possible after a heart attack to dissolve the blood clot causing the blockage in the coronary artery.
C. Aspirin is commonly administered during a heart attack to help prevent further clot formation and reduce the risk of complications.
D. Potassium-sparing diuretics are not typically given during a myocardial infarction but may be used later in the management of heart failure.
E. Beta blockers are commonly given during and after a heart attack to reduce the heart's workload, decrease oxygen demand, and improve survival rates.
Correct Answer is B
Explanation
A. Naproxen does not typically interact with sildenafil.
B. Sildenafil interacts with nitrates such as isosorbide, leading to severe hypotension, making it contraindicated in patients taking nitrates.
C. Metformin does not typically interact with sildenafil.
D. Cefuroxime does not typically interact with sildenafil.
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