The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

Five-pound (2.3 kg) weight gain.

Nausea and vomiting.

Short-term memory loss.

Depressed affect.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
A five-pound weight gain in a client taking lithium carbonate is significant. however, the timeframe of the weightgain is to be known. Choice B rationale:
Nausea and vomiting are known side effects of lithium that should be reported as they can cause electrolyte imbalance.

Choice C rationale:
Short-term memory loss is a potential side effect of lithium, but it may not require immediate reporting unless it significantly affects the client's daily functioning or is associated with other concerning symptoms.

Choice D rationale:
A depressed affect is a symptom that should be addressed as part of the client's ongoing psychiatric care, but it may not warrant immediate reporting unless it is severe and requires a change in the treatment plan. The priority in this case is the potential lithium toxicity indicated by the weight gain.

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Correct Answer is A

Explanation

Choice A rationale:
It is crucial to obtain information about any history of heart disease before starting an antidepressant-like sertraline because certain antidepressants can have effects on the heart's electrical conduction system. Sertraline, in particular, may be associated with QT interval prolongation, and individuals with a history of heart disease may be at higher risk. Assessing this history helps the nurse make informed decisions about the client's treatment and potential risks.

Choice B rationale:
While a familial history of mental illness is important to consider, it is not the most critical information to obtain before starting sertraline. The primary concern with sertraline is its potential impact on the heart's electrical conduction system, making option A (heart disease history) more relevant.

Choice C rationale:
Current weight is essential to monitor during treatment with sertraline as it can impact dosing, but it is not the most critical piece of information to obtain before starting the medication.

Choice D rationale:
Medication history is important but not the most critical information in this context. Assessing any history of heart disease (Option A) takes precedence due to the specific cardiovascular risks associated with sertraline.

A. Sweet potatoes. B. Spinach salad. C. Bananas. D. Fish.

Correct Answer is B

Explanation

Choice A rationale:
Sweet potatoes are not typically high in oxalates and are generally considered safe to consume in moderation for individuals with calcium oxalate renal stones.

Choice B rationale:
Spinach is high in oxalates, which can contribute to the formation of calcium oxalate renal stones. Therefore, the client should be instructed to avoid spinach and foods high in oxalates.

Choice C rationale:
Bananas are generally low in oxalates and are not likely to be a significant contributor to the formation of calcium oxalate renal stones. They are safe for most individuals to consume.

Choice D rationale:
Fish is generally not high in oxalates and is not a major concern for individuals with calcium oxalate renal stones. However, it's essential to maintain an overall balanced diet and stay hydrated to prevent stone formation.

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The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

Correct Answer is A

Explanation

The nurse is providing dietary instructions for a client who is being discharged after passing a calcium oxalate renal stone. Which food should the nurse instruct the client to avoid?

Correct Answer is B

Explanation

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The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?