lithium RN Nclex Exam 2023-2024 with Questions
and Answers
1. 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:
A. Activity Intolerance
B. Risk for Aspiration
C. Ineffective Therapeutic Regimen Management
D. Disturbed Thought Process - ANSWER Answer: B
Children who develop lithium toxicity are prone to seizures and coma. Due to the
seizures that can occur the child is at risk for aspiration during seizure. This can
also occur if the child is comatose. Based on Maslow's hierarchy of needs,
maintaining a paten airway is the priority nursing diagnosis.
2. 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:
A. Notify the physician immediately
B. Observe the client for signs of toxicity
C. Record the laboratory result in the client's chart
D. Hold the next dose of lithium - ANSWER Answer: C
The client's laboratory result of lithium is within the therapeutic rage 0.4 - 1
mEq/L.
3. 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?
A. "When my mood fluctuates, I can increase the dosage of the medication"
B. "I can still eat my favorite salty food"
C. "I can crush an extended-release tablet, if ever it will be difficult for me to take
it whole by mouth"
D. "Drinking too much cranberry juice will help maintain a desirable lithium level"
- ANSWER Answer: B
Clients under lithium therapy don't need to limit their sodium intake, instead it is
recommended to keep salt intake the same as before prescription of the lithium
medication. Increasing the dose of lithium without evaluating the client's lab
works can cause lithium toxicity, overdose, an
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