The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 m/Eq/L?
1. Sedation
2. Calm behavior
3. Vomiting and diarrhea
4. Hyperactivity
Correct Answer: 4
Rationale 1: The client will be hyperactive, not sedated.
Rationale 2: The client's lithium level is low. The client will continue to be manic and hyperactive, not calm.
Rationale 3: Vomiting and diarrhea are effects of lithium toxicity, not of low levels of lithium.
Rationale 4: Hyperactivity would be due to a level of 0.3, a very low lithium level. The client will continue to be hyperactive and manic when the lithium level is low.
Global Rationale: Hyperactivity would be due to a level of 0.3, a very low lithium level. The client will continue to be hyperactive and manic when the lithium level is low. The client will be hyperactive, not sedated. The client's lithium level is low. The client will continue to be manic and hyperactive, not calm. Vomiting and diarrhea are effects of lithium toxicity, not of low levels of lithium.
You might also like to view...
The client coughs out the tracheostomy tube. Which does the nurse implement?
1. Ventilate the client manually. 2. Insert a new tracheostomy tube. 3. Open the stoma with a fingertip. 4. Speak to the client's provider.
Parents have been told their child has fetal alcohol syndrome (FAS). Which statement by a parent indicates that additional teaching is required?
1. "Our baby's heart murmur is from this syndrome." 2. "He might be a fussy baby because of this." 3. "His face looks like it does due to this problem." 4. "Cuddling and rocking will help him stay calm."
Freud theorized that during the phallic stage, a child's energy is focused on which of the following areas of the body?
a. mouth c. anus b. genitals d. hands
A nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire. The nurse next will assess the family's external support systems. These would include which of the following?
1. Grandparents. 2. The parent's siblings. 3. Local social services agencies. 4. The family's religious leader. 5. The family's communication skills.