NU102 EXAM #2 MOOD STABILIZER

Tammy is reviewing laboratory findings and notes that the client's lithium level is 2.1 mEq/L. Which of the following actions should the nurse take? A Perform immediate gastric lavage. B Prepare the client for hemodialysis. C Administer an additional oral dose of lithium. D Request a stat repeat of the laboratory test.

A Perform immediate gastric lavage.

A client newly diagnosed with bipolar disorder was prescribed with lithium meds. While giving the health teaching the client keeps asking about why there is a need for frequent blood works. Which of the following statement of the nurse addressing the client's question is true: A. "It will help determine if the medication dosage is still within the therapeutic level" B. "Frequent blood works is unnecessary once medication is taken as ordered" C. "It will help identify if the liver has been working properly" D. "It will monitor if the medication already pass the blood brain barrier"

A. "It will help determine if the medication dosage is still within the therapeutic level"

A client prescribed lithium carbonate (Lithium) 300mg qam and 600mg qhs presents to the ED with impaired consciousness, nystagmus, arrhythmias, and history of recent seizures. which serum lithium would the nurse expect to assess? A. 3.7 mEq/L B. 3.0 mEq/L C. 2.5 mEq/L D. 1.9 mEq/L

A. 3.7 mEq/L

A client diagnosed with bipolar disorder has been prescribed with lithium (carbonate) by his physician. Which question will help the nurse identify signs of early lithium toxicity? A. Have you been experiencing any nausea, vomiting or diarrhea? B. Do you have frequent headache? C. Have you been urinating excessively/frequently? D. Do you experience leg aches over the past few days?

A. Have you been experiencing any nausea, vomiting or diarrhea?

A client with bipolar disorder was prescribed with lithium (Eskalith). Upon giving teaching, the nurse instructed the client to report severe signs of toxicity? Select all that apply. A. Seizures B. Blurred vision C. Slurred speech D. Ataxia E. Tinnitus

A. Seizures B. Blurred vision D. Ataxia E. Tinnitus

Tammy is assessing Brian who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? A Severe hypertension B Coarse tremors C Constipation D Blurred vision E ​​​​​​Increased urine output

B Coarse tremors D Blurred vision E ​​​​​​Increased urine output

A nurse was giving health teaching to a client newly prescribed with lithium medication. Which of the following statement of the client indicates understanding about the medication? A. "When my mood fluctuates, I can increase the dosage of the medication" B. "I can still eat my favorite salty food" C. "I can crush an extended-release tablet, if ever it will be difficult for me to take it whole by mouth" D. "Drinking too much cranberry juice will help maintain a desirable lithium level"

B. "I can still eat my favorite salty food"

A female client was prescribed with lithium carbonate 600 mg p.o t.i.d to manage her bipolar disorder. The nurse would be aware that the teaching given to the client with regards to the medication side effects was understood when the client make which of the following statement? "I will call my doctor immediately once I notice any: A. Sensitivity to bright light or sun B. Fine hand tremors or slurred speech C. Sexual dysfunction or breast enlargement D. Inability to urinate or difficulty when urinating

B. Fine hand tremors or slurred speech

1. A 9-year-old child has been prescribed with lithium as a mood stabilizer. His lab results shows his lithium level of 1.5 mmol/L. The priority nursing diagnosis for this child should be: A. Activity Intolerance B. Risk for Aspiration C. Ineffective Therapeutic Regimen Management D. Disturbed Thought Process

B. Risk for Aspiration

A physician prescribes lithium for a client diagnosed with bipolar disorder. The nurse needs to provide appropriate education for the client on this drug. Which topic should the nurse cover? Select all that apply. A. The potential for addiction B. Signs and symptoms of drug toxicity C. The potential for tardive dyskinesia D. A low-tyramine diet E. The need for consistently monitor blood levels F. Changes in his mood that may take 7 to 21 days

B. Signs and symptoms of drug toxicity E. The need for consistently monitor blood levels F. Changes in his mood that may take 7 to 21 days

A female client with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering the medication? A. Calcium B. Sodium C. Chloride D. Potassium

B. Sodium

A Client prescribed lithium carbonate (Eskalith) is experiencing an excessive output of diluted urine, tremors, and muscular irritability. these symptoms would lead the nurse toexpect to assess which serum lithium level? A. 0.6 mEq/L B. 1.5 mEq/L C. 2.6 mEq/L D. 3.5mEq/L

C. 2.6 mEq/L

A client receiving lithium carbonate has a lithium level of 2.3 mEq/L. The nurse will immediately assess the client for which of the following symptoms? A. Weakness B. Diarrhea C. Blurred Vision D. Fecal incontinence

C. Blurred Vision

A client with bipolar disorder has been receiving lithium (Eskalith) for 2 weeks. She also has been taking chemotherapeutic drugs that cause her to feel nauseated and anorexic, making it difficult to distinguish early signs of lithium toxicity. Which of the following signs would indicate lithium toxicity at serum drug levels below 1.5 mEq/L? A. Hyperpyrexia B. Marked analgesics and lethargy C. Hypotonic reflexes with muscle weakness D. Oliguria

C. Hypotonic reflexes with muscle weakness

2. A client receiving lithium therapy for the treatment of his bipolar disorder has a lithium level of 0.85 mEq/L. The appropriate nursing action is: A. Notify the physician immediately B. Observe the client for signs of toxicity C. Record the laboratory result in the client's chart D. Hold the next dose of lithium

C. Record the laboratory result in the client's chart

The client taking lithium carbonate (Eskalith) is having difficulty time walking, is confused, agitated and is complaining of blurred vision. The nurse checks the lithium level drawn earlier in the day, expecting the level to be within which of the following ranges? A. 0.5 to .8 mEq/L B. 1.2 to 1.5 mEq/L C. 1.5 to 1.8 mEq/L D. 2.0 to 3.0 mEq/L

D. 2.0 to 3.0 mEq/L

A client under lithium medication suffered from diarrhea and vomiting. Which of the following nursing intervention should the nurse in charge do first? A. Recognize this as a drug interaction B. Give the client Cogentin C. Reassure the client that these are common side effects of lithium therapy D. Hold the next dose and obtain an order for a stat serum lithium level

D. Hold the next dose and obtain an order for a stat serum lithium level

A client under your care as a nurse was newly prescribed with lithium carbonate. To prevent lithium toxicity, the nurse should advise the client to do which of the following? A. Avoid the use of acetaminophen for headaches B. Decrease fluid intake to less than 1,500 mL daily C. Restrict intake of foods rich in sodium D. Limit aerobic activity in hot weather

D. Limit aerobic activity in hot weather

A client who has been taking lithium medication for the past few years, recently got pregnant, and she is so concerned of the effects of the medication to her child. Which of the following statement is true that would address the client's concern? A. Lithium does not cross the placental barrier and poses no risk for the fetus B. Pregnant woman with diagnosed with bipolar disorder should not take lithium meds C. Oral contraceptive and lithium medication may result to a false-positive pregnancy test. D. Lithium should be avoided during the latter part of the first trimester if possible.

D. Lithium should be avoided during the latter part of the first trimester if possible.

A client has been taking lithium carbonate for the management of bipolar disorder. Which of the following adverse reaction does the client need to report? A. Black tongue B. Increased lacrimation C. Periods of disorientation D. Persistent GI upset

D. Persistent GI upset