Question

17.   A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?
a.   “Limit foods containing tyramine”
b.   “Decrease your daily sodium intake”
c.   “Take this medication 2 hours before a meal”
d.   “Report swelling of the feet to your provider”

18. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
a.   Hyponatremia
b.   Hypocalcemia
c.   Hypomagnesemia
d.   Hypokalemia

32. A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs?
A.   Decreased temperature
B.   Increased pulse rate
C.   Decreased respiratory rate
D.   Increased blood pressure

39. A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
A.   Change the nicotine patch every other day
B.   Do not drink beverages while sucking on a nicotine lozenge
C.   Chew nicotine gum for 10 min before spitting it out
D.   Administer 2 sprays of nicotine nasal spray in each nostril with each dose

3. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?
a.   Bradycardia
b.   Hypokalemia
c.   Tinnitus
d.   Hypotension

Answer 1

1.

D) " Report swelling of the feet to your provider"

Long term use of lithium carbonate cause swelling , the nurse needs to observe and report.

2.

A) Hyponatremia

Low sodium levels leads to high lithium levels and lithium toxicity.

3.

D) Increased blood pressure

Heparin should not use if blood pressure is increased , this may cause haemorrhage to the patient.

4.

B) Do not drink beverages while sucking on a nicotin lozenge.

While sucking nicotin lezenge should not take any drink.

5.

D)Hypotension

Lisinopril decrease blood pressure , monitoring is needed.