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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shaving excess hair from the skin before applying a nitroglycerin patch helps ensure proper adhesion and absorption of the medication.
B. Used nitroglycerin patches should be folded with the medication area to the inside and disposed of in a manner that prevents accidental exposure to others.
C. Nitroglycerin patches are typically worn for a specified duration, often 12 to 14 hours, before being removed and replaced with a new patch.
D. Using multiple nitroglycerin patches simultaneously is not recommended and could lead to overdose.
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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