What action should the nurse take on learning that a manic client's serum lithium level is 1.8 mEq/L?
A. Withhold medication and notify the physician
B. Continue to administer medication as ordered
C. Advise the client to limit fluids for 12 hours
D. Advise the client to curtail salt intake for 24 hours
Ans: A. Withhold medication and notify the physician
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When the patient asks the nurse to make sure no one sees her with her dentures out, the nurse recognizes the common preoperative fear of:
a. anesthesia. b. loss of control. c. fear of separation from family. d. mutilation.
The nurse is caring for a patient diagnosed with a lung infection. Which immunoglobulin level should the nurse expect to be elevated in this patient?
1. immunoglobulin A 2. immunoglobulin M 3. immunoglobulin E 4. immunoglobulin D
Upon aspirating a saline lock prior to administering intravenous medication, the nurse notes that there is no blood return. What nursing action should be taken?
1. Discontinue this infiltrated lock and restart another site for medication administration. 2. Slowly infuse 1 mL of saline into the lock, assessing for infiltration. 3. Reinsert the needle into the lock and aspirate using more pressure. 4. Pull the intravenous catheter out 1/8 inch and attempt aspiration.
Medications ordered on a patient with hypothyroidism include liotrix and cholestyramine. The nurse administers the dose of liotrix at 08:00. When is the best time for the nurse to administer the cholestyramine?
a. 07:00 b. 08:00 c. 10:00 d. 12:00