A nurse assesses a patient who takes a maintenance dose of lithium carbonate [Lithobid] for bipolar disorder. The patient complains of hand tremor, nausea, vomiting, and diarrhea. The patient's gait is unsteady. The patient most likely has done what?
A. Consumed some foods high in tyramine
B. Not taken the lithium as directed
C. Developed tolerance to the lithium
D. Developed lithium toxicity
Answer: D. Developed lithium toxicity
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A community health nurse is working with a group of pregnant women in the community to reduce lifestyle risk factors associated with low-birth-weight newborns and infant mortality. Which of the following would the nurse address?
A) Multiparity B) College level education C) Environmental toxins D) Single gestation pregnancy
Which of the following statements regarding posttraumatic stress disorder (PTSD) and children is accurate?
A) The risk of developing PTSD following leukemia treatment is about the same as all children of the same age. B) Best practices demonstrate that adolescents who have PTSD are at increased risk of drug abuse. C) In a family unit where one child is diagnosed with cancer, all the children in the household are at increased risk for developing PTSD. D) Children who were abused during childhood are more likely to be diagnosed with obsessive-compulsive disorder rather than PTSD.
A client is admitted for complaints of chest pain and aching for the past 4 days. the results for serum creatine kinase-MB (CK-MB) and troponin are obtained. What rationale should the nurse use to evaluate the laboratory findings?
A. serum myoglobin levels are needed to confirm myocardial damage B. myocardial damage that occurred several days earlier is best validated by serum troponin levels C. the most reliable indicator of myocardial necrosis is serum CK-MB D. serum cardiac markers are inconclusive in determining myocardial injury after waiting several days
The most significant laboratory value that would alert the nurse to probable malnutrition would be a:
a. high hemoglobin level (18 g/dl). b. low white blood cell count (5000/mm3). c. high hematocrit level (51%). d. low serum albumin level (2.8 g/dl).