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NEW QUESTION 29
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid.
A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
Answer: C
Explanation:
Explanation
(A) This answer is correct. The therapeutic range is 1.0-1.5 mEq/L in the acute phase. Maintenance control levels are 0.6-1.2 mEq/L. (B, C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range.
(D) This answer is incorrect. Toxic poisoning is usually at the 2.0 level or higher.
NEW QUESTION 30
The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:
Answer: C
Explanation:
(A) Mild PIH is not treated with medications. (B) Emotional stress is not the cause of blood pressure elevation in PIH. (C) Excessive caloric intake is not the cause of weight gain in PIH. (D) The client most frequently is not aware of the signs and symptoms in mild PIH.
NEW QUESTION 31
A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:
Answer: B
Explanation:
(A, C, D) This answer is a miscalculation. (B) 1 oz = 30 mL; therefore, 18 oz x.
NEW QUESTION 32
A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) The purpose of bladder irrigation is not to prevent bladder spasms, but to drain the bladder and decrease clot formation and obstruction. (B) A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage. (C) Scrotal edema seldom occurs after TURP. Bladder irrigation will not prevent this complication. (D) Prostatic infection seldom occurs after TURP. Bladder irrigation will not prevent this complication.
NEW QUESTION 33
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