A nurse assesses a client with hyperthyroidism who is prescribed lithium carbonate. Which assessment finding should alert the nurse to a side effect of this therapy?
a. Blurred and double vision
b. Increased thirst and urination
c. Profuse nausea and diarrhea
d. Decreased attention and insomnia
ANS: B
Lithium antagonizes antidiuretic hormone and can cause symptoms of diabetes insipidus. This manifests with increased thirst and urination. Lithium has no effect on vision, gastric upset, or level of consciousness.
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The 125-pound nurse assesses the weight of a patient she will need to lift because she is aware the heaviest patient she may safely lift by herself would weigh no more than:
a. 158.75 pounds. b. 168.75 pounds. c. 178.75 pounds. d. 188.75 pounds.
On an intake physical, the nurse questions the patient with diabetes insipidus (DI) about the classic symptoms of that disease, which are:
1. dizziness, tachycardia, and weakness. 2. massive diuresis, hypertension, and excitability. 3. stress incontinence, vomiting, and edema. 4. bradycardia, insomnia, and muscle cramps.
After teaching a new mother about bathing her newborn, the nurse determines that the teaching is successful when the client states that she will do which of the following?
A) Use alkaline soap B) Use perfumed lotions C) Bathe the baby in a warm location D) Use medicated soap
With which of the following interventions does the nurse best reflect caring by maintaining belief in a client?
1. Offering a client with cancer pain medication before a family visit 2. Explaining to a client what to expect during a bone marrow aspiration 3. Arranging for a burn client to talk with others who survived similar burns 4. Explaining to a client that he may select from a variety of entrees for dinner