A client receiving long-term therapy with lithium carbonate (Lithobid) exhibits muscle tremors, confusion, vomiting, and diarrhea. The nurse anticipates that the results of the latest test of the serum lithium level will be between:

1. 0 and 0.5 mEq/L
2. 0.6 and 1.0 mEq/L
3. 1.0 and 1.3 mEq/L
4. 1.5 and 2.0 mEq/L


4

Rationale: The therapeutic serum level of lithium is 0.6 to 1.2 mEq/L.. Serum lithium concentrations of 1.5 to 2.0 mEq/L may produce a variety of symptoms, including vomiting, diarrhea, drowsiness, incoordination, coarse hand tremors, muscle tremors, and mental confusion.

Nursing

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A type of group that is stable, meets periodically, has an identified purpose, and is part of the organizational structure is called a ____

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When teaching a client taking fluoride supplementation, the nurse should instruct the client to:

a. thoroughly brush the teeth before fluoride administration. b. administer fluoride just prior to bedtime. c. take fluoride supplements with meals to increase absorption. d. chew and retain the fluoride in your mouth before swallowing it.

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Which essential oil can be used during aromatherapy to treat nausea?

A) Lavender B) Garlic C) Parsley D) Peppermint

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The staff nurse is identifying ways to communicate care needs for a patient from a non-English-speaking culture. How will the nurse use the tool within the Joint Commission monograph roadmap for hospitals to help with this need? Select all that apply:

1. Access a checklist to use during the admission process. 2. Follow the steps in the assessment checklist. 3. Review the points during the phases of treatment. 4. Identify all of the steps needed for discharge. 5. Recognize ways to adapt to the patient's culture.

Nursing