A patient has been taking lithium for 5 days. The nurse notes his gait is a little unsteady with a walker, and he complains of thirst and insomnia. Which finding is most important for the nurse to report?

a. Manic behavior
b. Unsteady gait
c. Thirst
d. Insomnia


B
While all findings should be reported, uncoordinated movement is a sign of lithium toxicity and the priority finding. The patient is likely taking lithium to treat manic behavior. Thirst and in-somnia are expected side effects of lithium and not indicative of toxicity.

Nursing

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a. Intravenous antibiotic administration b. Topical antibiotic administration c. Wound débridement d. Wound culture

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The nurse receives the following order for insulin: IV NPH (Humulin NPH) 10 units. The nurse will perform which action?

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Which of the following is not a strength of transformational leadership approach?

a. Broadly researched b. Intuitive appeal c. Expansive leadership view d. Elitist and anti-democratic

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Which is a correct description of daily fetal movement counting?

A. Counting should not be started by low-risk mothers until 38 weeks of gestation B. Fetal movement counting is not reliable because the methods of counting vary C. The mother counts the number of movements over a specified length of time

Nursing