Which of the following situations in clients on lithium therapy should alert the nurse to an increased risk of lithium toxicity? Select all that apply
A) Weight gain
B) Excessive sweating
C) Vomiting
D) Elimination of dietary salt
E) Diarrhea
B, C, D, E
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The nurse is reviewing data collected on a patient with urinary calculi. Which complication should the nurse suspect is occurring in this patient?
1. hydronephrosis 2. infection 3. renal colic 4. ureteral tumor
While hospitalized, a client learns that a dear friend has died as a result of an accident. The client is crying and asking God, "Why?" The nurse realizes the client is demonstrating which factor of spiritual distress?
1. Physiological 2. Treatment-related 3. Psychological 4. Situational
The nurse is preparing to give a dose of oral clindamycin (Cleocin) to a patient who is being treated for a skin infection caused by Staphylococcus aureus. The patient has had several doses of the medication and reports having nausea
Which action will the nurse take next? a. Administer the next dose when the patient has an empty stomach. b. Hold the next dose and contact the patient's provider. c. Instruct the patient to take the next dose with a full glass of water. d. Request an order for an antacid to give along with the next dose.
The nurse is completing an assessment of the client's sleep patterns. A specific question that the nurse should ask to determine the potential presence of sleep apnea is:
1. "How easily do you fall asleep?" 2. "Do you have vivid, lifelike dreams?" 3. "Do you ever experience loss of muscle control or falling?" 4. "Do you snore loudly or experience headaches?"