The nurse would be alert to assess for signs of lithium toxicity in a patient with which of the following lithium levels?
1. 1.5 mEq/l
2. 0.1 mEq/l
3. 0.5 mEq/l
4. 1.0 mEq/l
1
Rationale: Significant side effects are often present in clients with a lithium level above 1.2 mEq/l.
You might also like to view...
A patient has developed symptoms of rigidity and bradykinesia. Which of the following medications has been linked to secondary parkinsonism?
A) Haloperidol B) Furosemide (Lasix) C) Psyllium hydrophilic mucilloid (Metamucil) D) Valproic acid (Valproate)
The nurse is preparing a presentation regarding the effects of diabetes mellitus. What will the nurse include regarding the effects of diabetes mellitus?
a. Improves overall tissue perfusion b. Promotes release of oxygen to tissues c. Causes hemoglobin to have a greater affinity for oxygen d. Causes hemoglobin to have a decreased affinity for oxygen
A nurse is applying nitroglycerin ointment to a client. When applying medication topically, what is the highest priority nursing intervention?
a. Apply medication liberally. b. Avoid contact of the medication with the nurse's skin. c. Massage the area. d. Have client apply medication.
How does the underlying pathophysiology relate to P.R.’s presenting signs and symptoms?
P.R., a 66-year-old woman who has no history of respiratory disease, is being admitted to your intensive care unit (ICU) from the emergency department (ED) with a diagnosis of pneumonia and acute respiratory failure (ARF). The ED nurse tells you that P.R. was stuporous and cyanotic on her arrival to the ED. Her initial vital signs were 90/68, 134, 38, 101° F (38.3° C) with and Spo2 of 53%. She was endotracheally intubated orally and placed on mechanical ventilation and has equal breath sounds. Her ventilator settings are synchronized intermittent mandatory ventilation of 12/min, tidal volume (VT) 700 mL, Fio2 0.50, positive end-expiratory pressure (PEEP) 5 cm H2O. The nurse tells you P.R. had an initial chest x-ray (CXR) examination that confirmed the diagnosis of pneumonia, but she needs an additional CXR examination stat.