A nurse is providing teaching to a client who has a prescription for lithium carbonate

a nurse is providing teaching to a client who has a prescription for lithium carbonate Iodine. The client states I am glad those people were saved but I sure wish I was not hurt. Watch for irritability as a side effect. Reduce fluid intake C. 	Clinical findings of a client who has a prescription for lithium carbonate Lithobid. It has been used for more than 50 years, and it is known to be a very effective medicine. Psychiatric Nursing. Which of the following instructions should the nurse include? a. It affects the amount of some chemical substances present in the brain, and it may also affect the way that nerve cells respond to some of the chemical substances. A nurse is providing teaching to the family of a client who has a substance use disorder. A client has been taking lithium carbonate (Lithane) for hyperactivity, as prescribed by his physician. 2 mEQ/L) have a low margin of safety; that is, the therapeutic dose and the toxic dose are close together. In this section are the NCLEX practice questions for endocrine system disorders. In formulating a discharge teaching plan, the nurse will instruct the client that is most important to: 1. 45. "Limit foods containing tyramine. The nurse is seen as an authority figure b. About 75% of people who take lithium for bipolar disorder have some side effects, although they may be minor. Lithium Blood Test When It Is Ordered. 20. 4) I should expect to experience some unusual type movement when taking Dilantin A nurse is caring for a client whose child has a terminal illness. All you have to do is to paste the coursehero link for your desired document and click ‘UNLOCK’ You will be prompted to register for an account, if not registered already, where we shall upload the . The nurse should . Above normal level. Polyuria C. 0 mEq/liter. 	It is common to treat depression with ECT before trying medications. 71. A nurse is instructing a client with bipolar disorder on proper use of lithium carbonate (Eskalith), the drug's adverse effects, and symptoms of lithium toxicity. The nurse is seen as a friend 7. NO. B) Toxic range appears only at levels exceeding 2. A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. A nurse is providing discharge teaching for a group of clients. A nurse has been assigned to care for a client with the diagnosis of obsessive-compulsive disorder (OCD). A newborn has been diagnosed with exstrophy of the bladder. 5th edition 45. 4. Even though data suggest that the risk of Ebstein’s anomaly from first trimester use of lithium is very low, an ultrasound of the heart is recommended at 16 to 20 weeks of gestation. ) A client who is taking lithium carbonate (Lithobid) is scheduled for surgery. Sodium B. Lithium is approved the US Food and Drug . 6 to 3. While the client is taking this drug, the nurse should ensure that he has an adequate intake of: Sodium. Instruct the client to expect a headache following the procedure. Iron. When a medication is not given, the nurse must record the reason for non-administration by entering the appropriate code in the box and initialling the . A client who has a hip fracture and a new onset of tachypnea C. Avoid soy sauce, wine & aged cheese 2. ” C. Establish a code with family and friends to signify violence. Variable dose therapies include lithium carbonate, steroids on a reducing protocol, and the anticoagulant warfarin, which requires the INR (International Normalised Ratio) result to be recorded. A nurse is caring for a client with bipolar disorder who has been prescribed lithium carbonate. 0 Neuro Part 2. . A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Withhold the lithium and report the lithium level to the physician Endocrine System Disorders Nursing Test Bank. The nurse determines that the client understands the most effective use of this medication if the client states that he or she will: 1. Which cooking oil is not suggested for the client on a low-cholesterol diet? Coconut oil: The nurse is caring for a client with stage III Alzheimer's disease. This booklet contains important information about your lithium treatment and has a section in it to record your blood results. A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Assess the client for possible short-term memory loss. A client receiving long-term therapy with lithium carbonate has a serum lithium level of 1. Toxic level. Rationale: The nurse should explain to the client that weight gain is a common side effect of lithium carbonate. Stuffed crab, steamed rice, peas. Verbalize how to obtain a daily weight 3. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which information should the RN report to the HCP immediately? A. Have a bag ready that has extra clothes for self and children. d. Administer the lithium with an antacid . Which of following statements by client indicates understanding •	Nurse teaching a client who has bipolar disorder and a prescription for lithium to recognize toxicity. , divalproex, 50–125 mcg/ml) have a high margin of safety; that is, the therapeutic dose and the toxic dose are far apart. A nurse is teaching a client who has a new prescription for disulfiram. Place the client in four point restraints prior to the procedure. ) Z Drugs with a high therapeutic index (e. A nurse is caring for a client whose partner died 6 months ago. We aim to enable the spread and access to education and information freer and easier. ) Polyuria Muscle weakness A nurse is discussing routine follow-up needs for a client who has a new prescription for . The client has been taking clomipramine (Anafranil) for his obsessive-compulsive disorder. A large glass of juice Lithium is a psychotropic drug that is used to treat mental illnesses, such as bipolar disorder, schizophrenia, and occasionally depression and ADHD. Mood stabilizing agent . The client requests information about how to deal with the upcoming loss. 94 and an emission line at 671 nm on the flame photometer. b. Vera has been experiencing minor episodes of depression and mania for the last 2 years and has been treated extensively with Lithol, a lithium carbonate drug. A manic episode may involve some or all of the following symptoms: Aggressiveness. ) A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. C. The nurse is providing client teaching to a client from whom the antipsychotic agent risperidone has been prescribed . Descriptions. After teaching a client about lithium carbonate (Lithane), which client statement would indicate to the nurse that teaching has been successful? A. A nurse is providing teaching to a client who has a new prescription for phenytoin (Dilantin). (C) Ensuring adequate intake of sodium chloride will promote excretion of . ” i. Antipsychotics are administered to clients with thought disorders. Nursing interventions Provide a safe Environment for the client. “Taking this medication will decrease your cravings for alcohol. 39. Which instruction should the nurse provide to this client's caregivers? a. A client who has gout and states, “I can continue to eat anchovies on my pizza. Decrease environmental stimuli whenever possible. 	I can have my depression cured if I . The correct answer is B: Reporting vomiting . Rarely, this may include death. Which of the following information should the nurse include in the teaching? Avoid looking directly at the light during treatment. Calcium. Manic-depressive patients experience severe mood changes, ranging from an excited or manic state (eg, unusual anger or irritability or a false sense of . Correct Answer: B. the nurse should include which of the following manifestations in the teaching? (select all that apply. Fast, urgent talking. Report yellow eyes or skin immediately. A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears. When teaching a client with a new prescription for lithium (Lithane) for treatment of a bi-polar disorder which of these should the nurse emphasize? A) Maintaining a salt restricted diet. Monitor the client's cardiac rhythm during the procedure. Respond to cues of increased restlessness agitation by removing stimuli and perhaps isolating the client. Maintain adequate fluid and sodium intake (pg 63-64) ii. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with which of the following? a. identify symptoms of uremia 2. (A) The client has lithium toxicity, and the nurse must withhold further dosages. Z Drugs with a low therapeutic index (e. Testing is especially important if you’re just starting the medication or if your doctor is changing the dose. 	The nurse is caring for a client who has tuberculosis and is being treated . Warnings. 5 to 1. Administer the next dose to lithium at the prescribed time . People who take prescription lithium need to have their levels checked routinely. "Decrease your daily sodium intake" C. Lithium is a prescription medicine used to treat bipolar disorder. Your child will have blood tests to check the level of this drug in the blood. Discontinue the medication after a week of improved mood. Which of the following instructions should the nurse include? Avoid taking NSAIDs Pharm made easy 4. • Nurse teaching a client who has bipolar disorder and a prescription for lithium to recognize toxicity. A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. A nurse has provided home-care instructions to a client who is taking lithium carbonate (Lithobid). Which of the following statements should the nurse make? 90. “Take this medication 2 hours before a meal” d. Elation. While the client is taking this drug, the nurse should ensure that he has an adequate intake of-A. Avoid taking NSAIDs D. The rationale for emphasizing this teaching is that the A) Serum level of lithium must be kept below 1. Do not use lithium without telling your doctor if you are pregnant. Ans: A. A nurse suspects a client has posttraumatic stress disorder (PTSD), delayed onset. Lithium has been associated with an increased risk of Ebstein’s anomaly, a heart valve defect. A client with acute mania has been taking lithium (Lithium Carbonate) 600 mg PO three times daily for 14 days. Sodium : The levels of lithium in the body are dependent on sodium. c. Let the client know what is expected of him or her’. Lithium is for use in adults and children at least 7 years old. Vera conceived while she was on this medication but took great care to avoid any other teratogens that may harm her child. The nurse should teach the client which of the following factors puts her at risk for lithium toxicity? a nurse is providing discharge teaching to a client who has bipolar disorder and will be 10. " C. 	The client currently smokes 1. The nurse informs the client that: 1. Which of the following client statements indicates understanding of the teaching? a. A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar disorder. Lithium is used to treat and prevent episodes of mania (frenzied, abnormally excited mood) in people with bipolar disorder (manic-depressive disorder; a disease that causes episodes of depression, episodes of mania, and other abnormal moods). 0 mEq/L. , lithium, 0. “I’ll call my doctor immediately if I experience any diarrhea or ringing in my ears. We provide unclocked coursehero documents free of charge. Lithium is in a class of medications called antimanic agents. Drink alcohol in small amounts only. A nurse provides discharge teaching to a client who has a diagnosis of chronic kidney disease and a new prescription for metoprolol. While the client is taking this drug, the nurse should ensure that he has an adequate intake of: a. Before providing care for this client, the nurse should consider that clients with OCD: Rationale: The nurse should question a prescription of alprazolam for acute anxiety if the client has a history of alcohol use disorder. A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. 28 A client has been taking lithium 300 mg po bid for the past two weeks. The nurse should recommend a referral to a dietitian. Lithium: Definition. The nurse should identify that which of the 19. The nursing process not only focuses on ways to improve physical needs, but also on social and emotional needs as well. Restrict intake of foods rich in sodium. Consume a low-sodium diet B. 38. The nurse analyzes the client’s serum lithium level, noting that it is therapeutic when the level is within which of the following ranges? a. A client who has epidural analgesia and weakness in the lower extremities D. Alprazolam is a benzodiazepine used in the treatment of anxiety and has an increased risk for physiological dependence and tolerance. Identify 3 potential adverse effects of this medication. 0. 28. Which statements indicate understanding •	Nurse providing teaching for client who has schizophrenia and new Rx for fluphenzine. Which statements indicate understanding • Nurse providing teaching for client who has schizophrenia and new Rx for fluphenzine. Do not give your child more of this drug than you are told. They may become less troublesome after a few weeks as your body adjusts to the drug. For which reasons should the nurse withhold the medication and notify theprovider? 12. 5–1. 3. 	The client had a motor vehicle crash last year and sustained a head injury. An adolescent with narcolepsy would experience brief periods of deep sleep followed by periods of feeling refresh. A client who is on lithium carbonate (Eskalith) will be discharged at the end of the week. E. 	The client has a BMI of 25 and has gained 10 lb over the last year. A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. Monitor the client for signs of coarse hand tremors. 5 packs of cigarettes per day. D) Substituting generic form if desired. Take the tablet with a full glass of water. a. 	A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Provide a consistent, structured environment. A nurse is providing teaching to a patient who is to begin undergoing light therapy at home to treat seasonal affective disorder. Which of the following is an appropriate response by the nurse? A nurse is reinforcing teaching for a client who has a new prescription for lithium carbonate Lithobid. Which client statement indicates that the client understands the prescribed regimen? A. The nurse should educate the client on the importance of medication adherence and discuss concerns with the prescribing physician if the client does not wish to continue taking the medication. (B) Because of her level of toxicity, further lithium could cause coma and death. Acute toxicity occurs when you swallow too much of a lithium prescription at one time. ” B. I will keep my medication in the refrigerator. How should the nurse interpret these symptoms? Administer phenytoin 30 min prior to the procedure. 42. Create a list of low sodium food options 4. Which client statement indicates that additional teaching is required? A nurse is providing teaching to a client who has a new prescription for phenytoin (Dilantin). “Report swelling of the feet to your provider” 18. 4) I should expect to experience some unusual type movement when taking Dilantin A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Have the client chew the pill if it is difficult to swallow. ) A. Hold the morning lithium dose and continue to observe the client C. Meals b. An antiemetic d. Notify the physician immediately B. Lithium Therapy 32. A. "Take this mediation 2 hours before a meal" D. A nurse is planning care for a client who has generalized anxiety disorder. Lithium is an element. The nurse should include which of the following in the teaching? (Select all that apply. Take the drug with food A nurse is providing teaching to a client who has a new prescription for lithium carbonate. “This medication will help prevent seizures during alcohol withdrawal. Which action is most important for the client to accomplish? 1. Iodine D. 37. 6to2. All questions on this set are updated to give you the most challenging questions, along with insightful rationales to reinforce learning. Avoid the use of acetaminophen for headaches. Lithium also helps to prevent or lessen the intensity of manic episodes. Expect therapeutic effects in 24 to 48 hr. Iron C. lithium carbonate Eskalith, Lithobid bipolar disorder lithium citrate Cibalith S bipolar disorder lorazepam Ativan anxiety loxapine Loxitane schiophrenia (typical) maprotiline Ludiomil depression (tricyclic) mesoridazine Serentil schiophrenia (typical) methylphenidate Ritalin ADD mirtazapine Remeron depression 41. Lithium carbonate is a drug used to treat bipolar disorder. 229. 	A nurse is developing a plan of care for a client who has a depressive disorder and is taking amitriptyline. This morning her lithium level was 1 mEq/L. g. 43. 9 mEq/L. 5mEq/L b. “Limit foods containing tyramine” b. The nurse is providing dietary teaching for a client with gout. Offer the morning dose of the medicine before breakfast. This nursing test bank set includes 50 questions divided into two parts. What info to provide Rationale: The nurse should explain to the client that weight gain is a common side effect of lithium carbonate. The nurse maintains confidentiality unless the client’s safety is compromised d. A A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. It gets its name from "lithos," the Greek word for stone, because it is present in trace amounts in virtually all rocks. Lithium is used to treat mania that is part of bipolar disorder (manic-depressive illness). D. Take medication only as prescribed because it can become addicting 3. "We need to understand that she is responsible for her disorder. Lithium levels are usually checked about 5-7 days after starting a new dose to allow blood levels to stabilize . a nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. Steak, baked potato, tossed salad. The nurse is providing dietary teaching for a client with elevated cholesterol levels. “Decrease your daily sodium intake. Eskalith is used to treat the manic episodes of manic-depressive illness, a condition in which a person's mood swings from depression to excessive excitement. A nurse asks a depressed 15-year-old girl if she's sexually active. Rash D. A client diagnosed with bipolar disorder, who has taken lithium carbonate (Lithane) for 1 year, presents in an emergency department with severe diarrhea, blurred vision, and tinnitus. 0 rnEq/L. Use an effective form of birth control, and tell your doctor if you become pregnant during . Avoid vitamin supplements during therapy. B. There are many signs of too much lithium . ESKALITH contains lithium carbonate, a white, light alkaline powder with molecular formula Li2CO3 and molecular weight 73. 2. Which of the following statements by a family member indicate an understanding of the teaching? (Select all that apply) A. An antacid c. Which of the following instructions should the nurse include? A. Plan an escape route to use if the abuser blocks the main exit. Chronic toxicity occurs when you slowly take a little too much of a lithium prescription every day for a while. A large glass of juice 1. ” b. Lithium reduces the intensity and frequency of mood swings. Constipation B. This article focuses on lithium overdose, or toxicity. Which client statement indicates that additional teaching is required? Eskalith is used to treat the manic episodes of manic-depressive illness, a condition in which a person's mood swings from depression to excessive excitement. Which of the following instructions ATI Mental Health Chapter 10 Brain Stimulation Therapies 1. ” c. The nurse should: A. 3 to 4. A written contract is established to clarify the steps of the treatment plan c. 89. The nurse should include which of the following manifestations in the teaching? (Select all that apply) A. Which of the following statements by the client indicates an understanding of the teaching: 3) I should let my dentist know that I'm taking this medication. Which of the following should the nurse include in the teaching? A client who has bipolar disorder is to be discharged home with a prescription for lithium. "Eliminating any codependent behavior will promote her recovery. 89. A patient’s serum lithium carbonate (Eskalith) level is 1. Lithium is also known as lithium carbonate and lithium citrate, and sold under the brand names Lithobid, Lithane, Carbolith, and Eskalith, and has been in use since the 1870s. Increase intake of Swiss or aged cheeses. The patient reports nausea. A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”. A client who has diabetes and a hemoglobin A1C of 6. Which of the following should the nurse include in the teaching? (Select all that apply. Which of the following instructions should the nurse A nurse is providing teaching to a client who has a new prescription for lithium carbonate. The girl changes the subject, but the nurse still wants to know What's causing her inability to sleep. It could cause harm to the unborn baby. C) Taking other medication as usual. What info to provide b. Take this booklet with you when you: See your GP, nurse, pharmacist or dentist Go into hospital Request a prescription or have a prescription dispensed. 8%. Lithium toxicity. The lithium level is 2 mEq/L. "Report swelling of the feet to your provider" 7. Which nursing intervention should the nurse be prepared to implement based on this result? A. A nurse is providing teaching to a client who has a new prescription for lithium carbonate. I will make sure that my diet contains salt. An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Rationale: The nurse should question a prescription of alprazolam for acute anxiety if the client has a history of alcohol use disorder. Which dietary selection is suitable for the client with gout? Broiled liver, macaroni and cheese, spinach. B) Reporting vomiting or diarrhea. A home health nurse is performing a home safety evaluation for an older adult client who uses a walker. 40. Which of the following findings is the nurse's priority? A nurse is providing discharge teaching about expected adverse effects to a client who has a new prescription for lithium. It is also used on a daily basis to reduce the frequency and severity of manic episodes. Which of the following information should the nurse include in the teaching? a. Obtain an order for benztropine (Cogentin) A client on lithium carbonate is instructed to return to the clinic to have her blood checked in a week. A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Administer the morning lithium dose as scheduled D. 6 mEq/liter. A characteristic of this stage is: Failing to recognize familiar objects Lithium has been associated with an increased risk of Ebstein’s anomaly, a heart valve defect. A nurse is caring for a client who has a new prescription for lithium carbonate (Lithobid). 1. Which of the following statements should the nurse make? A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Baked chicken, pasta salad, asparagus casserole. Muscle weakness E. The nurse interprets this value as: Normal level. The nurse needs further orders from the physician to stabilize the clients lithium level. Which of thefollowing therapeutic effects should the nursemonitor? 11. A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. I will restrict my water intake. Below normal level. When reinforcing teaching about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. A nurse plans to teach the client to: 1. 5mEq/L c. List nursing interventions/ client education that should be provided if adverse effects to lithium occur? A client who is on lithium carbonate (Eskalith) will be discharged at the end of the week. 	A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Lithium is an element of the alkali-metal group with atomic number 3, atomic weight 6. In formulating a discharge teaching plan, the nurse will instruct the client that it is most important to: a. 27. 2 mEq/L d. The higher the sodium, The lower the levels of lithium. “Decrease your daily sodium intake” c. Tinnitus DESCRIPTION. PMS-Lithium Carbonate; PMS-Lithium Citrate Warning This drug may cause severe side effects at doses that are close to the normal dose. " B. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? A nurse is providing teaching to a client who has a prescription for lithium carbonate . Ask the physician for an order to increase the lithium dose . “I should expect to feel better in a couple of days. a nurse is providing teaching to a client who has a prescription for lithium carbonate