A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

Have serum lithium levels checked every 6 months.

Adjust the dose if you feel out of control.

Do not reduce normal dietary sodium intake.

Limit fluid intake to 1,000 mL of fluid per day.

Answer and Explanation

The Correct Answer is C

C. Sodium intake can influence lithium excretion and affect serum lithium levels. Maintaining a consistent and adequate sodium intake is important for stabilizing serum lithium levels and optimizing the medication's therapeutic effects.
A. Patients should have their serum lithium levels checked regularly, typically every 3 months, not just every 6 months as suggested.
B. Clients should never adjust their lithium dose without consulting their healthcare provider. Lithium dosage adjustments should be made only under the guidance and supervision of a healthcare professional based on the client's clinical response, serum lithium levels, and overall treatment plan.
D. Adequate hydration is essential for overall health and well-being, and dehydration can increase the risk of lithium toxicity.

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Correct Answer is C

Explanation

C. Pet therapy has been shown to have positive effects on mood by promoting feelings of happiness, calmness, and relaxation. Interacting with animals can increase the release of feel-good hormones such as oxytocin, serotonin, and dopamine, which can improve mood and reduce symptoms of stress and anxiety.
A. There is evidence to suggest that pet therapy, also known as animal-assisted therapy, can be beneficial for individuals with depression. Interacting with animals, such as petting a dog or spending time with a therapy animal, has been shown to reduce symptoms of depression, anxiety, and stress in some people.
B. Pet therapy primarily focuses on providing emotional support and companionship rather than directly targeting sensory functioning.
D. Pet therapy has been associated with reductions in blood pressure and heart rate. Interacting with animals, such as stroking a dog or cat, has been shown to have calming effects on the body and may help lower blood pressure and reduce cardiovascular reactivity to stress.

A. Short, polite responses to interview questions B. Introspection related to present situation C. Feelings of helplessness and hopelessness D. Disorganized thinking and the inability to remain seated.

Correct Answer is D

Explanation

D. Mania is characterized by symptoms such as increased energy levels, decreased need for sleep, impulsivity, racing thoughts, and agitation. Disorganized thinking, rapid speech, and an inability to remain seated are common manifestations of manic symptoms.
A. Clients in a manic episode often exhibit rapid speech, tangential thinking, and may be overly talkative rather than providing short, polite responses.
B. Manic individuals typically exhibit heightened energy levels, impulsivity, and distractibility, making it challenging for them to engage in introspection or focus on the present situation. Instead, they may be preoccupied with grandiose ideas, racing thoughts, or engaging in excessive activities.
C. This response is more characteristic of individuals experiencing depressive episodes of bipolar disorder rather than manic episodes. During a depressive episode, individuals with bipolar disorder may experience profound feelings of sadness, hopelessness, and helplessness, along with symptoms such as fatigue, changes in appetite or weight, and sleep disturbances.

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A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

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Naxlex Comprehensive Predictor Exams

The client asks the nurse about pet therapy. Which response by the nurse provides the client with accurate information? "Pet therapy:

Correct Answer is C

Explanation

A family describes a client diagnosed with bipolar disorder as being "on the move." The client sleeps 3-4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial client assessment, which response would the nurse expect?

Correct Answer is D

Explanation

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