The nurse has been doing medication education for the client receiving lithium (Eskalith).
Which statement by the client indicates that teaching has been effective?
“I need to call my physician if I excessively sweat during exercise,"
“I can stop taking my lithium when my moods are stable."
I don't need to have my blood checked anymore after I leave the hospital."
"I need to restrict my intake of salt while I am taking lithium."
The Correct Answer is A
Explanation:
A. This is because lithium levels can be affected by changes in sodium balance and hydration levels in the body. Excessive sweating can lead to dehydration, which can increase lithium levels and potentially lead to toxicity. Therefore, it is important for clients to be aware of the need to maintain hydration and to communicate with their healthcare provider if there are any significant changes in their fluid balance, such as those caused by excessive sweating.
B. Stopping lithium abruptly, especially when moods are stable, can lead to relapse of bipolar disorder symptoms and is not recommended.
C. Regular monitoring of blood levels of lithium is essential to ensure therapeutic levels and prevent toxicity; therefore, the statement indicating the client no longer needs blood checks is incorrect.
D. Restricting salt intake lowers the sodium levels which can decrease lithium elimination, hence increasing the risk of toxicity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Eggs are not typically restricted while taking phenelzine (Nardil).
B. Onions are not typically restricted while taking phenelzine (Nardil).
C. Apples are not typically restricted while taking phenelzine (Nardil).
D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.
Correct Answer is C
Explanation
A. Total cholesterol levels alone do not provide sufficient information about the lipid profile; it is important to assess individual components such as LDL, HDL, and triglycerides.
B. Very low-density lipoprotein (VLDL) is associated with increased risk of cardiovascular disease when elevated, so it should not be high.
C. Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol, and lower levels are associated with reduced risk of cardiovascular disease.
D. High-density lipoprotein (HDL) cholesterol is often referred to as "good" cholesterol, and higher levels are associated with reduced risk of cardiovascular disease.
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