In caring for a client on lithium therapy, the nurse should: ...

[HCHenry]

In caring for a client on lithium therapy, the nurse should:
 
  a. encourage the client to avoid sodium-based beverages.
  b. instruct the client to consume foods low in sodium.
  c. assess the client for use of diuretics.
  d. instruct significant others to monitor client's vital signs daily at home.

Question 2

The client prescribed fluoxetine refuses to take the medication after three days, stating the medication is causing him to be drowsy even during the day. The best response by the nurse is:
 
  a. These initial side effects can be difficult, but they generally decrease with continued use of the medication.
  b. These side effects are serious. You should stop taking the medication.
  c. I'll inform your health care provider that you no longer want to take this medication.
  d. Prozac is prescribed for a serious psychiatric disorder; therefore, you cannot refuse to take this medication.

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Answer to Question 1

ANS: C

Feedback
A Incorrect: Sodium should not be restricted when taking lithium.
B Incorrect: Sodium should not be restricted when taking lithium.
C Correct: Diuretics increase the excretion of sodium and thus increase the risk of lithium toxicity.
D Incorrect: This is not an appropriate nursing action.

Answer to Question 2

ANS: A

Feedback
A Correct: This is a true and appropriate response by the nurse.
B Incorrect: This encourages noncompliance.
C Incorrect: This encourages noncompliance and is not supportive of the client's therapy.
D Incorrect: This comment may encourage noncompliance because the nurse states that the client must.

[HCHenry]

Thanks for the timely response, appreciate it

[zacnyjessica]

Wow, this really help