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."

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. GABA (gamma-aminobutyric acid) is not typically targeted by antidepressants.

B. While some antidepressants may indirectly affect epinephrine and norepinephrine levels, the primary mechanism of action for most antidepressants is through increasing levels of serotonin and/or norepinephrine.

C. Antidepressants commonly work by increasing the levels of neurotransmitters such as norepinephrine and serotonin in the brain.

D. The reticular formation is not directly involved in the mechanism of action of antidepressants.

A. Fever B. Tinnitus C. Bruising D. Rash.

Correct Answer is A

Explanation

A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.

B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse has been doing medication education for the client receiving lithium (Eskalith).Which statement by the client indicates that teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient asks how most antidepressants work. The nurse responds by saying that antidepressants improve mood by increasing levels of:

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

The client receives sertraline (Zoloft) and lithium, Which assessment data are most indicative of a potentially serious complication?

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

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?

A client taking nitroglycerin (Nitrostat) complains of a headache. Which conclusion is most appropriate by the nurse?

The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

Which of the following classes of medication decreases heart rate, contractility, and blood pressure, and is used to increase survival rates in post-myocardial infarction patients?

The nurse has been doing medication education for the client receiving lithium (Eskalith).
Which statement by the client indicates that teaching has been effective?