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Multiple-choice question: When a patient is prescribed oral lithium 300 mg three times a day, the nurse should instruct the patient to contact the physician if he or she experiences: Exercise 3.46 A. Metallic taste B. Urinary frequency C. Loose stools D. Th irst

Short Answer

Expert verified
The correct answer is C. Loose Stools.

Step by step solution

01

Identify the Drug

The question talks about lithium, which is a mood stabilizer commonly used in the treatment of bipolar disorder.
02

Research Lithium Side Effects

Research and understand that the common side effects of lithium include increased thirst, urination, and a metallic taste. However, it's important to differentiate between common side effects and those that should cause concern.
03

Analyze the Choices

A metallic taste, increased thirst, and urination are common side effects of lithium. However, the presence of loose stools is not a common side effect of lithium and could signify a gastrointestinal issue that requires medical attention.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Nursing Medication Management
Effective nursing medication management is critical for ensuring patient safety and optimal therapeutic outcomes. It involves a comprehensive understanding of pharmacological principles, accurate medication administration, and continuous monitoring of patient responses. Nurses are responsible for assessing a patient’s health status, determining medication plans, and educating patients on proper medication use, including potential side effects and interactions.

It's essential for nurses to stay informed about their patient's medications, such as lithium, which requires careful monitoring due to its narrow therapeutic range. Through diligent management practices, including the use of medication reconciliation and adherence to evidence-based protocols, nurses can prevent medication errors and enhance patient care.
Lithium Side Effects
Lithium is widely recognized for its efficacy in managing bipolar disorder, but it comes with a spectrum of side effects that healthcare providers must closely monitor. Common side effects include increased thirst, frequent urination, and a metallic taste in the mouth. These are generally not alarming but indicate the need for routine monitoring of lithium levels in the blood.

However, side effects such as persistent diarrhea or loose stools can signal toxicity or an adverse reaction, necessitating immediate medical evaluation. Recognizing these symptoms is crucial for nurses, as prompt action could prevent more severe complications associated with lithium therapy, such as dehydration or electrolyte imbalances.
Patient Education in Nursing
Patient education is an integral part of nursing care, as it empowers individuals to take an active role in managing their own health. When educating patients, it's important to communicate clearly and tailor the information to the patient’s learning style and level of understanding. With medications like lithium, nurses need to emphasize adherence to the prescribed regimen, the importance of regular blood tests, and the necessity of staying hydrated.

Teaching patients about recognizing early signs of side effects and when to seek medical attention prevents complications and enhances treatment efficacy. Effective patient education promotes autonomy, improves health outcomes, and fosters a collaborative relationship between the patient and the healthcare team.

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Most popular questions from this chapter

Multiple-choice question: Angelique complains of itching and dermatitis after taking a medication for a psychiatric disorder; after 3 days, the nurse should: A. Reassure the patient. B. Offer the patient soothing lotions. C. Contact the physician. D. Offer the patient a warm tub bath.

Matching: Match the symptom to the disorder. A. Subjective or inner restlessness resulting in difficulty sitting still, leg movement, and pacing. It produces intense anxiety and fidgeting B. Tremors, mask-like face, bradykinesia, loss of facial expression, flattening of vocal inflection, stiffness, cogwheel rigidity, and reduced social functioning C. Neuroleptic-induced delirium D. Acute spasms of the muscles of the jaw, face, eyes, trunk, and chest ___ Acute dystonia ___ Akathisia ___ Parkinsonism ___ Neuroleptic malignant syndrome

Multiple-choice question: Two medications that the nurse may give that are key in treating NMS include: Exercise 3.42 A. Aspirin and lorazepam B. Calcium and lithium C. Bromocriptine (Parlodel) and dantrolene (Dantrium) D. Lamictal (Lamotrigine) and olanzapine (Zyprexa)

Multiple-choice question: Th e nurse is caring for a patient hospitalized with mixed mania who is to receive Lamictol (lamotrigine) as a medication. Th e nurse should explain to the patient that the target symptom of this medication is: Exercise 3.50 A. Anxiety B. Lethargy C. Mood stability D. Sedation

True/False question: Exercise 3.54 Electroconvulsive therapy (ECT) is a type of somatic treatment where an electric current is applied to the chest area through electrodes placed on the chest. Th e current is suffi cient to induce a grand mal seizure. True/False

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