A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?
"Weight gain is a common but troubling side effect."
"What have you been eating? Weight gain is not usually associated with lithium."
"Weight gain occurs only during the first month of treatment with this drug."
"That's strange. Weight loss is the typical pattern."
The Correct Answer is A
Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.
Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.
Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.
Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Psychotic behavior is not common in postpartum depression; it is more associated with postpartum psychosis, a rare and severe form of the condition.
Choice B reason: Harming the infant is not a common manifestation of postpartum depression and is a misconception.
Choice C reason: Postpartum depression does not typically begin 48 hours after childbirth; this is more indicative of the "baby blues," which are less severe and more transient.
Choice D reason: Women with a history of depression are at a higher risk for postpartum depression, making this statement accurate.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: A cardiac monitor is essential during ECT to monitor the heart's electrical activity, as the procedure can affect heart rate and rhythm.
Choice B reason: A blood pressure monitor is necessary to track the client's blood pressure throughout the procedure, as ECT can cause fluctuations in blood pressure.
Choice C reason: A portable x-ray machine is not typically required in the setup for ECT.
Choice D reason: An EEG monitor is used during ECT to record the electrical activity of the brain, which is crucial for assessing the seizure activity induced by the treatment.
Choice E reason: An ophthalmoscope is not used during ECT; it is an instrument for examining the interior structures of the eye.
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