Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following instructions should the nurse include when reinforcing the teaching?.
A. Withhold dose if having a fine hand tremor.
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.
B. Avoid foods with a high tyramine content.
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.
C. Limit daily fluid intake.
Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.
D. Follow a low-sodium diet.
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day. So, the correct answer is, none of the above.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.
Choice B rationale:
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.
Choice C rationale:
Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.
Choice D rationale:
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.
So, the correct answer is, none of the above.
Similar Questions
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.
Which of the following instructions should the nurse include in the teaching?.
A. Treat nasal rhinitis with an over-the-counter antihistamine.
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.
B. If a medication dose is missed, wait until the next scheduled dose to take the medication.
If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
C. Expect diaphoresis as a side effect of the neostigmine.
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.
D. Take the medication 45 minutes before eating.
Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial. So, the correct answer is, D.
Full Explanation
Choice A rationale:
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.
Choice B rationale:
If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
Choice C rationale:
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.
Choice D rationale:
Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.
So, the correct answer is,
D.
A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis.
The nurse should identify that which of the following factors can cause a myasthenic crisis?.
A. Developing a respiratory infection.
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.
B. Taking too much prescribed medication.
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.
C. Insufficient sleep.
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis. So, the correct answer is, A.
D. Insufficient exercise.
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.
Full Explanation
Choice A rationale:
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.
Choice B rationale:
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.
Choice C rationale:
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.
Choice D rationale:
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.
A nurse is modifying the diet of a client who has Parkinson's disease and a prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate from the client's diet?.
A. Fresh fish.
Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.
B. Cheddar cheese.
Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.
C. Cherries.
Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.
D. Chicken.
Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine. So, the correct answer is B. Cheddar cheese.
Full Explanation
Choice A rationale:
Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.
Choice B rationale:
Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.
Choice C rationale:
Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.
Choice D rationale:
Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine.
So, the correct answer is B. Cheddar cheese.