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 A
Explanation
A. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.
B. Increased effectiveness is not a consequence of dehydration while taking lithium.
C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.
D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.
Correct Answer is D
Explanation
A. Beta-adrenergic blockers primarily work by decreasing heart rate and contractility rather than directly affecting peripheral resistance.
B. Beta-adrenergic blockers decrease contractility and heart rate, rather than increasing them.
C. Relaxation of arterial and venous smooth muscle is typically associated with calcium channel blockers, not beta-adrenergic blockers.
D. Beta-adrenergic blockers slow the heart rate and reduce the force of contraction of the heart muscle, reducing myocardial oxygen demand and helping to relieve angina symptoms.
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