The nurse informs the patient to remain well hydrated while taking lithium because dehydration can lead to:
Lithium toxicity
Increased effectiveness
The need to increase the lithium dosage
Lower serum lithium levels
The Correct Answer is A
A. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.
B. Increased effectiveness is not a consequence of dehydration while taking lithium.
C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.
D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Atorvastatin (Lipitor) is a statin medication that works by inhibiting the enzyme HMG-CoA reductase, which plays a key role in cholesterol synthesis in the liver, thereby lowering cholesterol levels.
B. Atorvastatin's mechanism of action is well understood; it is not accurate to say its action is not understood.
C. Atorvastatin does not bind to cholesterol; instead, it inhibits its production in the liver.
D. Atorvastatin does not directly cause the body to excrete cholesterol but rather reduces its production in the liver.
Correct Answer is C
Explanation
A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.
B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.
C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.
D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.
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