This topic contains a solution. Click here to go to the answer

Author Question: A nurse assesses the patient for possible lithium toxicity when the serum lithium level reaches 2.5 ... (Read 91 times)

crazycityslicker

  • Hero Member
  • *****
  • Posts: 537
A nurse assesses the patient for possible lithium toxicity when the serum lithium level reaches 2.5 mEq/L. Which clinical manifestations would the nurse anticipate with lithium toxicity? (Select all that apply.)
 
  a. Hyperactivity
  b. Slurred speech
  c. Constipation
  d. Muscle twitching
  e. Ataxia
  f. Hypertension

Question 2

A patient with a history of bipolar disorder has been on lithium therapy for 3 years. The patient begins to develop hypertension. Which class of drugs, if given concurrently with lithium, would result in an adverse drug-to-drug interaction?
 
  a. ACE inhibitors
  b. Vasodilators
  c. Diuretics
  d. Calcium channel blockers



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pocatato

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

ANS: B, D, E
A patient with lithium toxicity is hyponatremic, which may be manifested by slurred speech, muscle twitching, and mild to moderate ataxia.
Hyperactivity, constipation, and hypertension are not manifestations associated with lithium toxicity.

Answer to Question 2

ANS: C
Diuretics promote sodium loss and thereby can increase the risk of lithium toxicity. Toxicity occurs because in the presence of low sodium, renal excretion of lithium is reduced, which causes lithium levels to rise.
There are no adverse drug-to-drug interactions between lithium and ACE inhibitors, vasodilators, and calcium channel blockers, therefore any of them can be given to treat the patient's hypertension.




crazycityslicker

  • Member
  • Posts: 537
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


Sarahjh

  • Member
  • Posts: 370
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

Did you know?

Elderly adults are at greatest risk of stroke and myocardial infarction and have the most to gain from prophylaxis. Patients ages 60 to 80 years with blood pressures above 160/90 mm Hg should benefit from antihypertensive treatment.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

For a complete list of videos, visit our video library