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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 D

Explanation

A. Suspended release formulations typically have a slower onset of action compared to sublingual administration.

B. Transdermal patches provide a slow, continuous release of nitroglycerin and do not offer rapid onset.

C. Topical ointments have a slower onset of action compared to sublingual administration.

D. Sublingual administration of nitroglycerin provides the most rapid onset of action due to direct absorption through the oral mucosa.

A. it binds to vessel walls, decreasing the amount of blood getting to the heart B. it damages the heart muscle C. it thickens the blood, causing clots. D. it interferes with the conduction system of the heart.

Correct Answer is A

Explanation

A. High cholesterol can lead to the buildup of plaque in the arteries, which can narrow the blood vessels and decrease blood flow to the heart, increasing the risk of heart disease.

B. High cholesterol does not directly damage the heart muscle but can contribute to conditions like atherosclerosis, which can affect heart function.

C. High cholesterol does not directly thicken the blood but can contribute to the formation of blood clots when combined with other factors.

D. High cholesterol does not typically interfere with the conduction system of the heart but can contribute to conditions like coronary artery disease.

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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

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Correct Answer is D

Explanation

The nurse is educating a group of clients on how high cholesterol leads to heart disease.Which explanation regarding high cholesterol is most appropriate?

Correct Answer is A

Explanation

A child diagnosed with ADHD would likely exhibit which symptoms? (Select all that apply.)

The physician tells the nurse an HMG-CoA reductase inhibitor has been ordered. What is another name for the type of drug?

An older patient has a prescription for sertraline (Zoloft) 25 mg/day, P O. to be taken for 1 week and then increased to 50 mg/day the second week. The pharmacy gives the patient 50-mg tablets. How many tablets will the patient take per day during the first week?

A nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

The client has been taking nicotinic acid. Which adverse effects are common with nicotinic acid? (Select all that apply.)

A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?

The client asks the nurse why the Transdermal Nitroglycerin patch needs to be off for 12 hours per day. What is the best response by the nurse?

In the treatment of angina, the mechanism of action of an organic nitrate is: