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After teaching a client who is prescribed lithium about the drug, the nurse determines that the teaching was successful when the client states which of limited how much I drink
- A. I need to limit how much I drink
- B. Salt is something that I need to avoid
- C. I should take the drug with food
- D. I need to call the doctor if I have a painful erection
Correct Answer: C
Rationale: Taking lithium with food reduces gastrointestinal irritation, and the client's statement reflects understanding of this instruction.
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After teaching a group of nursing students about the action of antidepressants, the instructor determines that the teaching was successful when the students identify which of the following classes as exerting their effects by inhibiting reuptake of norepinephrine and serotonin?
- A. Amitriptyline
- B. Bupropion
- C. Clomipramine
- D. Duloxetine
- E. Venlafaxine
Correct Answer: A,C
Rationale: Tricyclic antidepressants like amitriptyline and clomipramine inhibit the reuptake of norepinephrine and serotonin, increasing their availability in the synaptic cleft.
The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity?
- A. Clients receiving furosemide (Lasix)
- B. Clients experiencing diarrhea
- C. Clients with renal insufficiency
- D. Clients with liver cirrhosis
- E. Clients experiencing vomiting
Correct Answer: A,B,C,E
Rationale: Diuretics like furosemide, diarrhea, vomiting, and renal insufficiency increase lithium levels by reducing clearance, heightening toxicity risk.
A nurse is caring for a client with depression. The client has been prescribed amitriptyline. Which of the following would the nurse integrate into the teaching for the client about how the drug works?
- A. Decreased reuptake of norepinephrine
- B. Increased serotonin in the nervous system
- C. Increased endogenous norepinephrine
- D. Increased endogenous epinephrine
Correct Answer: A
Rationale: Amitriptyline, a tricyclic antidepressant, works by decreasing the reuptake of norepinephrine, increasing its availability in the synapse.
A nurse determines the need to administer a prescribed antidepressant in the morning because of the increased likelihood of insomnia. Which drug would this most likely be?
- A. Amitriptyline
- B. Bupropion
- C. Citalopram
- D. Paroxetine
- E. Sertraline
Correct Answer: C,D,E
Rationale: SSRIs like citalopram, paroxetine, and sertraline are more likely to cause insomnia, making morning administration preferable.
When assessing a client for depression, which of the following would the nurse most likely find?
- A. Drowsiness
- B. Extreme sadness
- C. Severe headache
- D. Dilated pupils
Correct Answer: B
Rationale: Extreme sadness is a hallmark symptom of depression, distinguishing it from side effects like drowsiness or symptoms of other conditions like hypertensive crisis.