Select the accurate information about the pharmacokinetics of lithium

a. Wide therapeutic index
b. Excreted by the kidneys
c. Poorly absorbed in the gastrointestinal (GI) tract
d. Provides immediate relief of symptoms


B
Lithium is excreted via the kidneys. The other options are incorrect. The nursing implication is that individuals with renal damage should not be given lithium or should be monitored closely if lithium must be administered.

Nursing

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Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells you that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using

What is your most appropriate response? a. "With your father's permission, we will examine the stone and request that it be returned to him.". b. "The stone must be sent to the lab for examination and therefore cannot be kept.". c. "We cannot let him keep his stone because it violates our infection control policy.". d. "We don't know yet if your father has another kidney stone, so we must analyze this one.".

Nursing

The prescriber tells a patient with allergies to use oral diphenhydramine (Benadryl) over-the-counter (OTC) to help manage her symptoms. She tells you that she would rather have a prescription for the "real" Benadryl

because she knows it is stronger and will work better than the nonprescription form. What is your best response? a. "If you receive a prescription for this drug your name will be added to a controlled substances list." b. "It is better to use the OTC Benadryl rather than the prescribed form because it has fewer side effects." c. "The OTC form of Benadryl is the same strength as the one that was available by prescription only." d. "You are correct. I will ask the health care provider to write a prescription so that you can get the most effective drug."

Nursing

The nurse is preparing medications prior to administration. To promote patient safety, the nurse uses "rights" of drug administration. What do these "rights" include?

1. The right medication 2. The right time of delivery 3. The right dose 4. The right route of administration 5. The right patient

Nursing

The physician orders penicillin for a female client who has a sinus infection. What is a priority question to ask the client prior to administering the medication?

1. "Are you pregnant?" 2. "Do you plan to become pregnant?" 3. "Are you breastfeeding?" 4. "Are you taking birth control pills?"

Nursing