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NCLEX-RN · Question #626
NCLEX-RN Question #626: Real Exam Question with Answer & Explanation
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Question
On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused mental state, vomiting, twitching, and exhibiting a coarse hand tremor. Which one of the following nursing actions is essential at this time?
Options
- AAdminister her next dosage of lithium, and then call the physician.
- BWithhold her lithium, and report her symptoms to the physician.
- CPlace her on NPO to decrease the excretion of lithium from her body, and call the physician.
- DContact the lab and request a lithium level in 30 minutes, and call the physician.
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