A client is receiving lithium (Eskalith). Which serum electrolyte level is of greatest concern to the nurse?
a. Calcium level of 4.5 mEq/L
b. Potassium level of 3 mEq/L
c. Sodium level of 130 mEq/L
d. Potassium level of 5.7 mEq/L
ANS: C
Hyponatremia can occur with diuresis, and sodium loss that may occur with lithium therapy.
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The client tells the nurse that she has been having frequent nosebleeds and bruising. Which of the following types of deficiencies do these findings suggest to the nurse?
a. Vitamin A c. Vitamin C b. Vitamin B d. Vitamin K
Care of women in the home prior to delivery is considered
A) Community-based nursing B) Postpartum nursing C) Antepartum nursing D) Residential-based nursing
A client is to receive three treatments of electroconvulsive therapy (ECT) per week for 3 weeks. After the third treatment, the client is forgetful and confused
When the client's husband arrives to take her home, the nurse discusses his wife's condition with him. Which of the following statements is most appropriate? A) "Some confusion after ECT is normal. She will regain her memory in a few hours." B) "Confusion after ECT is not expected. Though it will resolve, she probably will not be a candidate for ECT in the future." C) "Some people experience mild confusion after ECT. Generally it clears in a few days, though it may take longer." D) "Some confusion after ECT is normal. Withhold her medications for today and call tomorrow to let us know how she's doing."
A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in ICP. What nursing intervention would be appropriate for this patient?
A) Range-of-motion exercises to prevent contractures B) Encourage independence with ADLs to promote self-esteem C) Encourage family visitation to decrease anxiety D) Absolute bed rest in a quiet nonstimulating environment