After teaching a client about lithium carbonate (Lithane), the nurse would conclude teaching was successful based on which client statement?

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Question 1 of 5

After teaching a client about lithium carbonate (Lithane), the nurse would conclude teaching was successful based on which client statement?

Correct Answer: B

Rationale: The correct answer is B because diarrhea and ringing in the ears are common side effects of lithium carbonate that require immediate medical attention. This demonstrates the client's understanding of the importance of monitoring for potential adverse effects. Option A is incorrect as lithium carbonate may take weeks to show full effects. Option C is incorrect as doubling the dose can lead to toxicity. Option D is incorrect as lithium does not require salt restriction.

Question 2 of 5

An adolescent was recently diagnosed with ODD. The parents say to the nurse, 'Isn't there some medication that will help with this problem?' Select the nurse's best response.

Correct Answer: C

Rationale: The correct answer is C because medication is not typically the first-line treatment for Oppositional Defiant Disorder (ODD). Behavioral strategies, such as therapy and counseling, are usually recommended to address the underlying issues causing the behavior. Medication may be considered in certain cases but is not the primary treatment. Choice A is incorrect because while ODD is primarily behavioral, there are cases where medication may be used as an adjunct treatment. Choice B is incorrect as it dismisses the importance of understanding individual treatment approaches. Choice D is incorrect as it provides inaccurate information and may raise false hopes about medication being the solution.

Question 3 of 5

Which one of the following statements BEST describes the difference between measurement and diagnosis?

Correct Answer: A

Rationale: The correct answer is A because measurement involves quantifying and analyzing data in numerical terms to understand a phenomenon objectively. In contrast, diagnosis is the process of identifying and labeling a patient's condition based on symptoms and test results to determine the appropriate treatment plan and prognosis. Choice B is incorrect because diagnosis does not involve numerical analysis but rather focuses on identifying and classifying illnesses. Choice C is incorrect as diagnosis and measurement are distinct processes with different objectives and methods. Choice D is incorrect as SOAP notes are used in documenting patient progress and treatment, not specifically for measurement. Physical therapy guides may assist in diagnosis but are not exclusive to it.

Question 4 of 5

If a clinical diagnostic test for patients with cervical radiculopathy is positive in 95% of patients who truly have the disease, but it is also positive in a large number of healthy individuals, what is this test most useful for?

Correct Answer: A

Rationale: The correct answer is A: Ruling out cervical radiculopathy. The test's high sensitivity (95% positive in true cases) means it is good at identifying patients who truly have the disease, making it reliable for ruling out cervical radiculopathy when the test is negative. However, the fact that it is also positive in many healthy individuals indicates a lack of specificity, making it unreliable for definitively ruling in the disease. Therefore, the test is most useful for excluding cervical radiculopathy when negative, rather than confirming it when positive. Choices B, C, and D are incorrect because the test's high false positive rate limits its ability to definitively diagnose the condition.

Question 5 of 5

When are the Korotkoff's sounds audible while measuring blood pressure?

Correct Answer: C

Rationale: The correct answer is C because Korotkoff's sounds become audible upon beginning to lower the pressure of the inflated cuff. Initially, the cuff pressure is higher than the systolic pressure, leading to the complete cessation of blood flow and no sounds. As the cuff pressure decreases, blood flow partially resumes, creating turbulent sounds during systole (phase 1) until the sounds disappear at the diastolic pressure (phase 5). Choices A and B are incorrect as sounds are not audible at full inflation or upon placement of the stethoscope. Choice D is incorrect as Korotkoff's sounds are heard throughout systole, not just during diastole.

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