When the nurse reviews the effectiveness of the client's lithium level, the nurse should take into account which of the following client factors?
1. Marital status
2. Gender
3. Ethnicity
4. Weight
3
Rationale: Because of differing metabolic rates, the therapeutic range of lithium differs among Asian, African-American, and Caucasian groups. Weight, gender, and marital status would not impact the effectiveness of the medication.
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A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The nurse documents that she is experiencing:
a. Urinary frequency. b. Enuresis. c. Stress incontinence. d. Urge incontinence.
The nurse is providing instruction to the parents of a 7-month-old infant who has just been diagnosed with hearing loss. What guidance should the nurse provide?
A) Hearing loss is not serious until 1 year of age. B) Interventions to support hearing are not useful until the child is at least 9 months old. C) Expect that your child will be enrolled in a special hearing intervention program immediately. D) Keep your child in a quiet environment until additional testing is done.
You are teaching a patient from a general teaching plan that has been set up for all patients with type 2 diabetes. What would be your first consideration if this patient is unable to perform her blood glucose test without assistance?
1. The patient has not accepted her diagnosis. 2. The patient feels the test strip is wrong for testing her blood. 3. The patient is having problems understanding the process. 4. The learning objectives should be less specific for this patient.
Gout is:
1. A hereditary metabolic disease 2. Caused by an error in fat metabolism 3. A form of osteodystrophy caused by kidney failure 4. Untreatable except by diet