Which intervention is highest priority for the care plan of a client on lithium therapy?

a. Drink 1 to 2 L of water per day.
b. Limit caffeinated beverages.
c. Eat three meals daily.
d. Suck on ice chips for dry mouth.


ANS: A
Drinking water and staying hydrated are of highest priority. Lithium may cause polyuria and lead to dehydration.

Nursing

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The nurse learns at report that the patient is a member of a Seventh-day Adventist group. At mealtime, which of the following trays should be served to this patient?

1. Corn flakes with whole milk, cranberry and orange juice, buttered muffin, and coffee 2. Mixed salad with chunks of chicken, potato salad, orange juice, and a small apple 3. Scrambled eggs and crisp bacon, melon slice, wheat toast, and hot tea 4. Broiled flounder, scalloped potatoes, yellow squash, green bean salad, rice pud-ding, and coffee

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The nurse is concerned about a coworker who exhibits a sign of amphetamine abuse, such as:

a. excited speech. b. attention to detail. c. sluggish, slurred speech. d. eating sweets constantly.

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A patient's central venous pressure reading is 8 mmHg. The nurse understands this reading reflects which physiological parameter?

1. The blood pressure within the right atrium 2. The blood pressure within the pulmonary artery 3. The blood pressure within the left ventricle 4. The blood pressure within the left atrium

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Lysozymes are enzymes that:

a. strengthen the bacterial cell wall. b. have antiviral action within the cell. c. attack the cell walls of bacteria. d. promote glucose utilization by the human cell.

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