The nurse is preparing to administer a dose of lithium (Lithibid) to a patient who has been taking the drug as maintenance therapy to treat bipolar disorder. The nurse assesses the patient and notes tremors and confusion

The patient's latest serum lithium level was 2 mEq/L. Which action will the nurse take?
a. Administer the dose.
b. Hold the dose and notify the provider.
c. Request an order for a higher dose.
d. Request an order for a lower dose.


ANS: B
The patient has symptoms of lithium toxicity, and the serum drug level is in toxic range. The nurse should hold the dose and notify the provider.

Nursing

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A grant-awarding organization is reviewing a nurse-led program promoting weight loss and healthy eating habits in a minority population. The program has a high success rate. The organization's members might conclude that

a. members of the cultural group have specific health needs the program helps meet. b. nurse-run programs have better outcomes than those led by other providers. c. the nurse sought assistance from cultural leaders to develop the program. d. this cultural group is well assimilated and uses Western medical practices.

Nursing

Mental disorders can involve cognitive misperceptions such as fear without a situational reason

Indicate whether the statement is true or false

Nursing

The nurse prepares to administer a medication through the client's central line. Per hospital policy, the nurse must use heparin to keep the line patent. Place the steps in the correct order for administering medication through the central line. A) Administer the medication.B) Flush the catheter with 5-mL saline.C) Flush the catheter with heparin. D) Flush the catheter with 10-mL saline.

Fill in the blank(s) with the appropriate word(s).

Nursing

The nurse recognizes that calcium channel blockers prescribed for treatment of angina exert their effect by:

A) Increasing preload. B) Decreasing afterload. C) Positive chronotropic effect. D) Positive inotropic effect.

Nursing