Master Lithium NCLEX Tips – 20 Questions

Master Lithium NCLEX Tips – 20 Questions

 

Master Lithium NCLEX Tips – 20 Questions

Before appearing to Quiz watch full video on Lithium

Lithium NCLEX Questions- Important NCLEX Drug

Lithium NCLEX Questions- Important NCLEX Drug

1 / 20

A man is prescribed with lithium to manage bipolar disorder. The nurse is most concerned about lithium toxicity when he notices which of these assessment findings?

A.

B.

C.

D.

2 / 20

The client taking lithium carbonate (Eskalith) is having difficulty time walking, is confused, agitated and is complaining of blurred vision. The nurse checks the lithium level drawn earlier in the day, expecting the level to be within which of the following ranges?

3 / 20

Which discharge instructions is most important for a client taking lithium (Eskalith)?

4 / 20

A client came to the psychiatric unit 2 days ago. She has a history of bipolar disorder, is in the manic phase, and stopped taking lithium (Eskalith) 2 weeks ago. Which finding would the nurse be least likely to see ?

5 / 20

A client with bipolar disorder has been receiving lithium (Eskalith) for 2 weeks. She also has been taking chemotherapeutic drugs that cause her to feel nauseated and anorexic, making it difficult to distinguish early signs of lithium toxicity. Which of the following signs would indicate lithium toxicity at serum drug levels below 1.5 mEq/L?

6 / 20

What information is important to include in the nutritional counseling of a family with a member who has bipolar disorder?

7 / 20

A client has been taking lithium carbonate for the management of bipolar disorder. Which of the following adverse reaction does the client need to report?

8 / 20

Which of the following is an adverse effect of lithium carbonate taken by a client with bipolar disorder.

9 / 20

A client under your care as a nurse was newly prescribed with lithium carbonate. To prevent lithium toxicity, the nurse should advise the client to do which of the following?

10 / 20

A client's latest lab result shows her plasma lithium level is 0.2 mEq/L.  The nurse can expect to implement which of the following nursing interventions?

11 / 20

A client under lithium medication suffered from diarrhea and vomiting. Which of the following nursing intervention should the nurse in charge do first?

12 / 20

A client receiving lithium carbonate has a lithium level of 2.3 mEq/L. The nurse will immediately assess the client for which of the following symptoms?

13 / 20

A female client was prescribed with lithium carbonate 600 mg p.o t.i.d to manage her bipolar disorder. The nurse would be aware that the teaching given to the client with regards to the medication side effects was understood when the client make which of the following statement? "I will call my doctor immediately once I notice any:

14 / 20

A client under lithium medication reduce his dietary salt intake. Which of the following is expected to show in his blood work?

15 / 20

A client newly diagnosed with bipolar disorder was prescribed with lithium meds. While giving the health teaching the client keeps asking about why there is a need for frequent blood works. Which of the following statement of the nurse addressing the client's question is true:

16 / 20

A client who has been taking lithium medication for the past few years, recently got pregnant, and she is so concerned of the effects of the medication to her child. Which of the following statement is true that would address the client's concern?

17 / 20

A client diagnosed with bipolar disorder has been prescribed with lithium (carbonate) by his physician. Which question will help the nurse identify signs of early lithium toxicity?

18 / 20

A nurse was giving health teaching to a client newly prescribed with lithium medication. Which of the following statement of the client indicates understanding about the medication?

19 / 20

A client receiving lithium therapy for the treatment of his bipolar disorder has a lithium level of 0.85 mEq/L. The appropriate nursing action is:

20 / 20

A 9-year-old child has been prescribed with lithium as a mood stabilizer. His lab results shows his lithium level of 1.5 mmol/L. The priority nursing diagnosis for this child should be:

Your score is

The average score is 65%

0%

Lithium Notes for NCLEX to help you with your preparation:

Lithium for Bipolar Disorder

  • Uses: Lithium is primarily used to treat bipolar disorder, particularly for controlling manic episodes and preventing mood swings.

Therapeutic Range

  • Therapeutic levels: 0.6 – 1.2 mEq/L
    • Important to monitor closely to avoid toxicity.

Signs of Lithium Toxicity

  • Mild:
    • Nausea, vomiting
    • Tremors
    • Polyuria (frequent urination)
    • Thirst, weight gain
    • GI upset
  • Severe:
    • Ataxia (lack of coordination)
    • Confusion
    • Severe tremors
    • Renal failure, seizures, death

Monitoring Parameters

  • Renal function (creatinine, BUN levels)
  • Kidney function should be checked regularly, as lithium is excreted through the kidneys.
  • Hydration status (Dehydration increases lithium levels)
  • Blood levels of lithium should be tested regularly.

Patient Education

  • Stay hydrated: Dehydration can cause lithium toxicity.
  • Avoid excessive sweating: Hot weather or exercise can increase lithium levels.
  • Watch for side effects: Report any tremors, vomiting, or confusion immediately.

Common Side Effects

  • Mild tremors, thirst, and polyuria are common but manageable.
  • Hypothyroidism can occur with long-term use.

Drug Interactions

  • Avoid NSAIDs (e.g., ibuprofen) and diuretics, as these can increase lithium levels and risk of toxicity.

Conclusion

Lithium is essential for bipolar disorder management, but monitoring its levels and understanding side effects are vital for NCLEX success. Always check renal function, encourage hydration, and educate patients on proper use and warning signs of toxicity.


This summary highlights the key aspects of lithium for your NCLEX prep. Focus on monitoring, patient education, and toxicities for optimal results.

Master Lithium NCLEX Tips – 20 Questions

Master Lithium NCLEX Tips - 20 Questions

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NCLEX (National Council Licensure Examination)

The NCLEX (National Council Licensure Examination) is a standardized exam that nurses must pass in order to obtain a nursing license in the United States and Canada. There are two types of NCLEX exams:

  1. NCLEX-RN: This is the exam for Registered Nurses (RNs).
  2. NCLEX-PN: This is the exam for Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs).

The purpose of the NCLEX is to ensure that nurses have the necessary knowledge, skills, and abilities to provide safe and effective care to patients. The exam is created by the National Council of State Boards of Nursing (NCSBN), and each state or province in the U.S. or Canada has its own licensing board that requires the NCLEX for licensure.

Key points about the NCLEX:

  • Content: The exam covers topics like patient care, safety, pharmacology, mental health, and more. It’s designed to assess the clinical judgment and decision-making skills of nursing candidates.
  • Format: The NCLEX is a computerized adaptive test (CAT), meaning the difficulty of questions adjusts based on the answers you provide. The test can have anywhere from 75 to 265 questions, and you need to correctly answer enough questions to pass.
  • Passing Criteria: The exam doesn’t have a fixed number of correct answers; it uses a statistical model to determine whether you are consistently performing above the passing standard.

Master Lithium NCLEX Tips


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