32 hours ago Adverse effects. Exacerbation of psoriasis, acne, rash; nausea, diarrhoea, vertigo, muscle weakness, dazed feeling; loss of concentration; tremors; hypothyroidism; wt gain, oedema; cardiac arrhythmias; exophthalmos; restlessness; electrolyte disturbances. >> Go To The Portal
Nursing considerations. Decrease dosage after the acute manic episode is controlled; lithium tolerance is greater during the acute manic phase and decreases when manic symptoms subside. WARNING: Ensure that patient maintains adequate intake of salt and adequate intake of fluid (2,500–3,000 mL/day).
Slurred speech is an early clinical finding associated with lithium toxicity and can precipitate the onset of seizures or coma. Using the safety and risk reduction priority setting framework, this finding jeopardizes the immediate physiological safety of the client and should be reported to the provider immediately.
Decrease dosage after the acute manic episode is controlled; lithium tolerance is greater during the acute manic phase and decreases when manic symptoms subside. WARNING: Ensure that patient maintains adequate intake of salt and adequate intake of fluid (2,500–3,000 mL/day). Take this drug exactly as prescribed, after meals or with food or milk.
A patient who has been on long-term corticosteroid treatment calls the health care provider's office to report fatigue, nausea, and salt cravings. What question by the nurse is priority?
A nurse in a long-term care facility is assisting with an educational program regarding common sites of health care associated infections for a group of newly hired assistive personnel.
Clients who are experiencing nausea should eat foods high in carbohydrates, such as crackers, yogurt, toast, bananas, and sherbet. This is not an appropriate statement by the client and indicates a need for further teaching. A nurse is collecting data on a child who is diagnosed with bacterial epiglottitis.
Person of Focus: The nurse who is reinforcing teaching about captopril. Key Words: captopril, reduce, antihypertensive effects. So, the question is asking which of the medications should be reinforced to the client as having the potential to reduce the antihypertensive effect of captopril.
Advocate is correct. A nurse advocate acts as a liaison between clients and providers in order to improve or maintain the quality of care that clients receive. The nurse is functioning in the role of the nurse advocate for the clients during the prenatal period.
A client who is prescribed digoxin and furosemide with a potassium of 3.1 mEq/L is correct. This value is clearly abnormal and indicates that the client has hypokalemia, or decreased potassium. This is a common complication with the use of loop diuretics, such as furosemide. The nurse should also note that the client receives digoxin. Hypokalemia places the client at increased risk for digoxin toxicity, so this is the client who is at immediate risk for injury and whose laboratory findings should be reported to the provider.
While injuries can occur in the health care setting that affect the musculoskeletal system, this is not a common site for health care associated infections. Respiratory tract is correct. The respiratory tract is a common site for health care associated infections. Blood stream is correct.
GERIATRIC PATIENTS AND PATIENTS WITH RENAL IMPAIRMENT. Reduced dosage may be necessary. Elderly patients often respond to reduced dosage and may exhibit signs of toxicity at serum levels tolerated by other patients. Plasma half-life is prolonged in renal impairment.
Individuals var y in their reponse to this drug; some patients may exhibit toxic signs at serum lithium levels considered within the therapeutic range.
Decrease dosage after the acute manic episode is controlled; lithium tolerance is greater during the acute manic phase and decreases when manic symptoms subside.
A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the client's risk for depression. A. The client is an only child.
A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings indicates that the client is experiencing a relapse?
A. Speak to the client in a calm voice. (The initial goal for a client who is in a state of panic is to obtain relief. The nurse should stay with the client and speak in a calm manner.) A nurse is providing teaching for a client who has generalized anxiety disorder and a new prescription for buspirone.
A nurse is providing teaching to a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions by the nurse implements modeling as a behavioral intervention strategy? A. Setting a time limit between episodes of hand hygiene.
A. Rationalization is a defense mechanism by which a person covers up a real or perceived problem or weakness. This client is attempting to justify alcohol use by explaining that it helps to relieve pain. This is done to protect the client's ego and to satisfy the nurse.
A. "This medication can affect your ability to drive or handle mechanical equipment."
Lithium levels should be drawn 8 to 12 hours after the last dose, making premedication morning blood draws optimal.
Lithium must be given for 7 to 10 days before clinical improvement is achieved.
The symptoms of mild toxicity are often related to central nervous system disturbance. Difficulty concentrating might also be noted. Mild GI disturbances are also seen. The other options are not symptoms of early lithium toxicity.
Lithium is excreted via the kidneys. The other options are incorrect. The nursing implication is that individuals with renal damage should not be given lithium or should be monitored closely if lithium must be administered.
a. The half-life of lithium is short.
The combination of lithium and indomethacin is more likely to produce lithium toxicity than lithium and any other drug listed. Nonsteroidal antiinflammatory drugs reduce renal elimination of lithium, thereby increasing serum lithium levels.
It is believed that lithium substitutes for the sodium (Na) ion in neurons. Reductions or increases in Na intake affect the serum lithium level. The other options have not been identified as critical to lithium level.
A nurse in a long-term care facility is assisting with an educational program regarding common sites of health care associated infections for a group of newly hired assistive personnel. Which of the following sites should be included in the teaching? (Select all that apply.)
Clients who are experiencing nausea should eat foods high in carbohydrates, such as crackers, yogurt, toast, bananas, and sherbet. This is not an appropriate statement by the client and indicates a need for further teaching. A nurse is reinforcing teaching regarding foods containing complete protein to a client.
The urinary tract is a common site for health care associated infections. ***(UTIs and CAUTIs from caths) Surgical wound is correct. ***(any open wound can contract bacteria if not properly cleaned/maintained) Musculoskeletal system is INCORRECT.
Lithium is used in the treatment of bipolar disorder and what other psychiatric disorders? (Select all that apply.)
The nurse is caring for a patient taking lithium [Lithobid]. The nurse understands that many drugs interact with lithium. Which agent is safe to administer with lithium? A nurse assesses a patient who takes a maintenance dose of lithium carbonate [Lithobid] for bipolar disorder.
A nurse is assisting with the care of a client who is in labor. Following spontaneous rupture of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the fetal heart rate is 50/min.
A nurse in a long-term care facility is assisting with an educational program regarding common sites of health care associated infections for a group of newly hired assistive personnel. Which of the following sites should be included in the teaching? (Select all that apply.)
A nurse in a rehabilitation center is caring for a client who has just had a cerebrovascular accident. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data.)
A nurse is reinforcing teaching about methods to decrease nausea to a client who is receiving chemotherapy. Which of the following statements by the client indicates a need for further teaching? "I should eat low carbohydrate foods.". A nurse is collecting data on a child who is diagnosed with bacterial epiglottitis.