A client who was experiencing symptoms of early lithium toxicity ...

[arivle123]

A client who was experiencing symptoms of early lithium toxicity has had the dosage of medication reduced. The nurse determines that the dosage reduction was effective when the client demonstrates:
 
  1. a coarse hand tremor.
  2. a decrease in urine output.
  3. a decrease in blood pressure.
  4. a return of normal speech.

Question 2

A client confides in the nurse that he is going to kill himself. Which question should the nurse ask the client first?
 
  1. What has happened to make you feel this way?
  2. Have you ever attempted suicide before?
  3. How will you kill yourself?
  4. Do you think this will solve your problems?

[Hdosisshsbshs]

Answer to Question 1

Answer: 4

1. A coarse hand tremor is a sign of early lithium toxicity.
2. Decreased urine output is seen in severe lithium toxicity.
3. Hypotension is seen in severe lithium toxicity.
4. Slurred speech is seen with early lithium toxicity.

Answer to Question 2

Answer: 3

1. Since the client has expressed suicidal ideation, it is necessary to determine whether the client has organized his thoughts enough to have an actual plan. The other options would not provide this information.
2. Since the client has expressed suicidal ideation, it is necessary to determine whether the client has organized his thoughts enough to have an actual plan. The other options would not provide this information.
3. Since the client has expressed suicidal ideation, it is necessary to determine whether the client has organized his thoughts enough to have an actual plan. The other options would not provide this information.
4. Since the client has expressed suicidal ideation, it is necessary to determine whether the client has organized his thoughts enough to have an actual plan. The other options would not provide this information.

[arivle123]

TYSM

[xiaomengxian]

Excellent