The patient has been started on a treatment regimen which includes the use of lithium. As part of the teaching plan regarding lithium, the patient should be instructed that he should avoid:
a. Becoming sleep-deprived
b. Failing to exercise daily
c. Failing to stay on his prescribed dietary regimen
d. Becoming dehydrated
ANS: D
The most common cause of lithium accumulation in patients adhering to the treatment regimen is sodium depletion and dehydration, which reduces the volume of distribution of lithium and in-creases serum levels.
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Your client falls while you are providing care. In addition to your regular charting, you will probably be required to complete a(n):
1. incident report that is included in the client's chart. 2. interval note in the client's chart. 3. incident report that is kept separate from the client's chart. 4. progress note in the client's chart.
A patient who has been newly diagnosed with diabetes and prescribed insulin therapy asks why more than one injection of insulin each day will be required. What is your best response?
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A series of category E medication errors have occurred on a hospital unit. When discussing this trend with the nursing staff, the risk manager would list which characteristics of a category E error?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. The error contributed to the death of a client. B. A client was harmed. C. No interventions to sustain life were required as a result of the error. D. Harm to the client was permanent. E. The client's hospitalization was prolonged as a result of the error.
A patient has been admitted for treatment of an infected leg ulcer and will be started on IV linezolid. The nurse is reviewing the list of the patient's current medications. Which type of medication, if listed, would be of most concern if taken with the linezolid?
A. Beta blocker B. Oral anticoagulant C. Selective serotonin reuptake inhibitor antidepressant D. Thyroid Replacement hormone