The nurse evaluates which of the following client statements as validation that the teaching on lithium was effective?
1. I will restrict fluids to 100 ml per eight hours.
2. I will quit taking lithium if I get depressed.
3. I will have my blood levels checked every two to three months.
4. I will have liver function tests every six months.
3
Rationale: Lithium levels are drawn every two to three months and after increases. If fluid is restricted to the point of dehydration, toxicity can occur. Lithium is a mood stabilizer and treats mania and Bipolar symptoms and, therefore, would not be stopped during depression. Liver function tests are not needed for lithium since it is an ion and not metabolized by the liver.
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The home care nurse is admitting a patient with COPD. The primary healthcare provider has ordered O2 /nasal cannula at 3 L/min. To promote safety, the nurse would instruct the patient on which of the following safety measures? (Select all that apply
) a. Place "No smoking" signs in all areas where oxygen will be used. b. Instruct family and visitors who smoke that they must smoke a minimum of 10 feet from the patient. c. Store tanks in a small closet, trunk of a car, or near the hot water heater. d. Oxygen tanks should stay a minimum of 6 feet from space heaters, fireplaces, and appliances with an electric motor. e. Know the exit routes and where the fire extinguisher are located in the home.
Nurses can help parents deal with the issue and fact of circumcision if they explain:
a. The pros and cons of the procedure during the prenatal period. b. That the American Academy of Pediatrics (AAP) recommends that all newborn males be routinely circumcised. c. That circumcision is rarely painful and any discomfort can be managed without medication. d. That the infant will likely be alert and hungry shortly after the procedure.
As a manager, the development of your decision-making skills related to safe patient care is facilitated by:
a. Regular reflection on decisions. b. A culture of perfectionism. c. Recognition of who should be held responsible for individual errors. d. A culture of trust between the staff and you.
Which characteristics may be displayed by a student who is considering violence? Select all that apply
a. Venting b. Vocalizing c. Vandalism d. Victimizing