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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Coronary heart disease (CHD) refers to the narrowing or blockage of the coronary arteries due to the buildup of plaque, leading to reduced blood flow to the heart muscle.

B. Cerebrovascular accident (CVA) refers to a stroke, which involves impaired blood flow to the brain rather than the heart.

C. Myocardial infarction (MI) is a heart attack, which occurs when blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies.

D. Angina pectoris is chest pain or discomfort caused by reduced blood flow to the heart muscle.

A. ibuprofen (Motrin) B. Ranitidine (Zantac) C. Digoxin (Lanoxin) D. Acetaminophen (Tylenol)

Correct Answer is C

Explanation

A. Ibuprofen is not typically contraindicated with calcium channel blockers.

B. Ranitidine is not typically contraindicated with calcium channel blockers.

C. Digoxin, a cardiac glycoside, can interact with calcium channel blockers, leading to increased levels of digoxin and potential toxicity.

D. Acetaminophen is not typically contraindicated with calcium channel blockers.

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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?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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