A client is on maintenance lithium therapy for bipolar disorder. The client enters the emergency department complaining of tremors. The client appears to be giddy and confused
A serum lithium level is drawn and is found to be 2 mEq/L. The nurse would anticipate:
a. holding the next dose of lithium.
b. administering the next dose of lithium at the next scheduled time.
c. administering the next dose of lithium STAT.
d. administering a dose of lithium double the normal dose.
ANS: A
This serum lithium level is above therapeutic range and the client is demonstrating symptoms of early lithium toxicity. The next dose would be held.
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The nurse is partnering with the family of a hospitalized premature infant who suffered an intraventricular brain hemorrhage
The nurse instructs the family that the activities that are appropriate for the infant in the hospital and at home include which of the following? Select all that apply. 1. Interacting face to face 2. Holding and rocking the infant 3. Talking softly and singing to the infant 4. Using a day care for stimulation 5. Discouraging sibling interaction
Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?
a. "Could you help me with the housework today?" b. "The baby has a stomachache. I'll call the nurse to find out what to do." c. "The baby is spitting up a lot. What should I do?" d. "I know you are busy, so I'll get John's mother to help me."
Which client will most likely seek prenatal care?
a. Janice, 15 years old, tells her friends, "I don't believe I am pregnant." b. Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. c. Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. d. Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister.
Not only when RNs manage hospital units and clinics, but also when they demonstrate confident decision making and accept autonomy, responsibility, and accountability in providing competent care, they are assuming the role of a(n)
a. advocate. c. entrepreneur. b. communicator. d. leader.