ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: A
Rationale: A lithium level of 1.6 mEq/L, above therapeutic range, causes GI discomfort and poor coordination. Lip smacking (
B), jerking movements (
C), and fever (
D) are unrelated.
Question 2 of 5
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Muscle spasms (
B), tremors (
C), and fidgeting (D, akathisia) are EPS. Sexual dysfunction (
A) and blurred vision (E) are unrelated to EPS.
Question 3 of 5
A nurse is reviewing the medical record of a client who performs self-injury. Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?
Correct Answer: C
Rationale: Borderline personality disorder is strongly linked to self-harm. Bulimia (
A) is less directly related, parental disorder (
B) is not a specific risk, and promotion (
D) is positive.
Question 4 of 5
A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?
Correct Answer: A
Rationale: Muscle weakness indicates mild lithium toxicity. Constipation (
B), urinary retention (
C), and hyperactivity (
D) are not typical symptoms.
Question 5 of 5
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
Correct Answer: B
Rationale: Clients should maintain consistent sodium intake, as low sodium can increase lithium levels, risking toxicity. Vitamin K (
A), potassium (
C), and vitamin C (
D) are not specifically related to lithium management.