Since the summer weather began, a patient taking lithium for manic episodes has been walking daily. What important instruction should the nurse provide to this patient?
a. Stay in the shade when walking.
b. Stop walking.
c. Maintain hydration.
d. Wear sunscreen.
C
Lithium toxicity can occur if the patient becomes dehydrated. The therapeutic range of lithium is narrow; consequently, toxicity to this drug is common.
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The nurse is selecting an injection site for a child. The nurse knows that muscle sites in children are determined primarily by muscle development and which of the following other criteria?
a. vascularity of area c. amount of fluid to be given b. size of the syringe d. amount of adipose tissue the child has
The nurse is contributing to a staff education program about Erikson's developmental stages. Which should the nurse present as the developmental stage for a middle-aged adult?
a. Integrity versus despair b. Intimacy versus isolation c. Identity versus role confusion d. Generativity versus self-absorption
During the initial inspection of the female genitalia, the nurse recognizes which finding as normal?
a. The labia minora are hair-covered and lying within the labia majora. b. The cervical os in the multiparous woman has the shape of a small circle. c. The vaginal vestibule lies between the labia minora and contains the urinary meatus. d. The openings of Skene's and Bartholin's glands are visible posteriorly.
Because isometric and isotonic exercises can cause the patient to perform an accidental Valsalva maneuver, the nurse coaches the patient to:
a. hold the breath during an exercise cycle. b. breathe through the mouth. c. breathe deeply and rhythmically during an exercise cycle. d. breathe in through the nose and out through the mouth.