Which of the following groups of organs is MOST important to evaluate for potential adverse effects when a client is taking lithium?
a. heart, liver, and thyroid
b. stomach, lungs, and kidneys
c. skin, nervous system, and pancreas
d. kidneys, thyroid, and nervous system
D
The three organs to evaluate for potential adverse effects are the thyroid gland, kidneys, and nervous system. The thyroid gland should be evaluated for possible hypothyroidism, which occurs in 5% to 35% of cases. The kidneys should be evaluated since lithium decreases renal concentrating ability. In addition the nervous system should be evaluated because tremor and decreased motor coordination occur in some individuals.
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In 1992 the National Institutes of Health (NIH) created the Office of Alternative Medicine to evaluate the various CAM therapies. It has since been renamed the_________________________________________________
ANS:
During a change of shift reporting, a nurse has to substitute for a healthcare provider to
care for a client. Which process would be most effective for the nurse's change-of-shift reporting? A) Use the clinical care path as her guide B) Record any failure in achieving short-term goals C) Prepare a written summary for the oncoming nurse D) Report on specific nursing diagnosis
The nurse has completed the education for a client prescribed levodopa (Stalevo). Which statement made by the client indicates an understanding of the information?
A. "I will increase the intake of vitamin B6 in my diet." B. "I will weigh myself weekly." C. "I will increase the protein in my diet." D. "I will notify my healthcare provider if my urine darkens."
What will the nurse caution a patient about when providing information about the prescribed azaspirone antidepressant?
a. Risk for addiction b. Adverse effect of nausea c. Risk of injury when using machinery d. Additive effects of central nervous system (CNS) depression with alcohol