A nurse is providing discharge teaching for a client who has multiple medication
prescriptions and must take the medications at specific intervals when at home. Which
of the following instructions should the nurse include in the teaching?
a. "You really shouldn't change the schedule we established here in the facility."
b. "Let's work together to devise a time schedule that is convenient for you on a daily
basis."
c. "We'll have to talk to your provider about switching to an alternative schedule."
d. "It doesn't really matter what time you take your medications as long as you don't
skip any doses." - ANSWER b. "Let's work together to devise a time schedule that is
convenient for you on a daily basis."
This response illustrates the therapeutic communication technique of formulating a plan
of action. It demonstrates the nurse's willingness to work with the client to modify the
schedule so that it meets the client's needs at this time.
A nurse is providing discharge teaching to. client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which
of the following factors puts her at risk for lithium toxicity?
a. The client runs 4 miles outdoors every afternoon.
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b. The client drinks 2 liters of liquids daily.
c. The client eats 2 to 3 grams of sodium-containing foods daily.
d. The client eats foods high in tyramine. - ANSWER a. The client runs 4 miles outdoors
every afternoon.
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk
for lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the
client engages in strenuous exercise during hot weather, she should take care to replace
any water that may have been lost through profuse sweating. this also applies to other
factors that can cause the client to become dehydrated, such as having diarrhea or
taking diuretics.
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