Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include?
A. "Restrict your fluid intake while taking lithium.
Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.
B. "Double your dose of lithium if you experience blurred vision."
Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.
C. "Consume a moderate-sodium diet while taking lithium."
Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.
D. "Slurred speech can indicate that your lithium level is low."
Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.
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Full Explanation
Choice A rationale:
Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.
Choice B rationale:
Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.
Choice C rationale:
Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.
Choice D rationale:
Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.
Similar Questions
A nurse is caring for a client who has Parkinson's disease and a new prescription for pramipexole. The nurse should monitor the client for which of the following findings as an adverse effect of this medication?
A. Diarrhea
Diarrhea is not commonly associated with pramipexole use.
B. Drowsiness
Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.
C. Tachypnea
Tachypnea (rapid breathing) is not typically associated with pramipexole use.
D. Bradycardia
Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.
Full Explanation
Choice A rationale:
Diarrhea is not commonly associated with pramipexole use.
Choice B rationale:
Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.
Choice C rationale:
Tachypnea (rapid breathing) is not typically associated with pramipexole use.
Choice D rationale:
Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.
A nurse is caring for a client who is at 36 weeks of gestation and experiencing hypertension. Which of the following tests should the nurse use to monitor fetal well-being?
A. Maternal Hgb and Hct
Maternal hemoglobin and hematocrit levels are important indicators of the mother's health but are not direct indicators of fetal well-being.
B. Coombs test
A Coombs test is performed on newborns to assess for hemolytic disease, not to monitor fetal well-being.
C. Biophysical profile
A biophysical profile assesses multiple parameters of fetal well-being, including fetal heart rate, fetal movement, fetal breathing, amniotic fluid volume, and fetal tone.
D. Alpha fetoprotein
An alpha-fetoprotein test is a screening test for neural tube defects and chromosomal abnormalities but is not typically used to monitor fetal well-being in hypertensive pregnancies.
Full Explanation
Choice A rationale:
Maternal hemoglobin and hematocrit levels are important indicators of the mother's health but are not direct indicators of fetal well-being.
Choice B rationale:
A Coombs test is performed on newborns to assess for hemolytic disease, not to monitor fetal well-being.
Choice C rationale:
A biophysical profile assesses multiple parameters of fetal well-being, including fetal heart rate, fetal movement, fetal breathing, amniotic fluid volume, and fetal tone.
Choice D rationale:
An alpha-fetoprotein test is a screening test for neural tube defects and chromosomal abnormalities but is not typically used to monitor fetal well-being in hypertensive pregnancies.
A nurse is reviewing the laboratory results of a client who has HELLP syndrome. Which of the following findings should the nurse expect?
A. Hgb 13 g/dl
A hemoglobin level of 13 g/dL is within the normal range and is not specifically indicative of HELLP syndrome.
B. BUN 8 mg/dL
A blood urea nitrogen (BUN) level of 8 mg/dL is within the normal range and is not typically associated with HELLP syndrome.
C. Bilirubin 1.8 mg/dL
Elevated bilirubin levels are a characteristic feature of HELLP syndrome, which involves liver dysfunction.
D. Hct 38%
A hematocrit level of 38% is within the normal range and is not specifically indicative of HELLP syndrome.
Full Explanation
Choice A rationale:
A hemoglobin level of 13 g/dL is within the normal range and is not specifically indicative of HELLP syndrome.
Choice B rationale:
A blood urea nitrogen (BUN) level of 8 mg/dL is within the normal range and is not typically associated with HELLP syndrome.
Choice C rationale:
Elevated bilirubin levels are a characteristic feature of HELLP syndrome, which involves liver dysfunction.
Choice D rationale:
A hematocrit level of 38% is within the normal range and is not specifically indicative of HELLP syndrome.