A home health nurse cautions the patient taking lithium that she should be sure to:
a. examine her skin closely for eruptions.
b. take her blood pressure twice a day to check for hypertension.
c. have her drug blood level checked every month.
d. avoid aged cheese and red wine.
C
Lithium has a very narrow therapeutic window. The drug blood levels must be checked monthly.
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An older client has gastric cancer and is scheduled to have a partial gastrectomy. The family does not want the client told about her diagnosis. What action by the nurse is best?
a. Ask the family why they feel this way. b. Assess family concerns and fears. c. Refuse to go along with the family's wishes. d. Tell the family that such secrets cannot be kept.
While conducting range of motion with an older patient, the patient begins to cry and states, "My knee hurts when you do that!" Which interventions should be implemented at this time?
Select all that apply. 1. Continue with the assessment. 2. Stop ROM immediately in that extremity. 3. Massage the knee for 20 minutes. 4. Call the physician. 5. Have the patient complete the assessment alone.
The client is carrying monochorionic-monoamniotic twins. The nurse teaches the client what this is, and the implications of this finding. The nurse knows that further information is required if the client makes which statement?
A. "My babies came from two eggs." B. "About two-thirds of twins have this amniotic sac formation." C. "My use of a fertility drug led to this issue." D. "My babies have about a 50% chance of surviving to term."
Which of the following information provided by the client's bed partner is most associated with sleep apnea?
a. Restlessness b. Talking during sleep c. Sleepwalking d. Excessive snoring