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A nurse in an acute mental health unit is admitting a client who has bipolar disorder.

Which of the following findings supports the admitting diagnosis of acute mania?

The client's spouse reports that the client has recently gained weight.

The client responds to questions with disorganized speech.

The client reports that voices are telling him to write a novel.

The client is dressed in all black.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Weight gain is not typically associated with acute mania in bipolar disorder.

Choice B rationale:

Disorganized speech can be a symptom of acute mania, which is characterized by increased energy, feelings of euphoria, racing thoughts, risky behaviors, and an inflated self-image.

Choice C rationale:

While hallucinations can occur in severe bipolar episodes, the client reporting that voices are telling him to write a novel is not specifically indicative of acute mania.

Choice D rationale:

Dressing in all black is not a specific symptom of acute mania.

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Correct Answer is B

Explanation

Choice A rationale:
Vitamin K is not specifically related to the management of bipolar disorder or the use of lithium.
Choice B rationale:
Clients under lithium therapy don’t need to limit their sodium intake. It is recommended to keep salt intake the same as before prescription of the lithium medication.
Choice C rationale:
While potassium is an important dietary element, it is not specifically related to the management of bipolar disorder or the use of lithium.
Choice D rationale:
Vitamin C is not specifically related to the management of bipolar disorder or the use of lithium.

A. Respiratory depression and a comatose state. B. Sore throat and muscle aches. C. Increased anxiety and suicidal ideations. D. Severe restlessness.

Correct Answer is B

Explanation

Choice A rationale:
Respiratory depression and a comatose state are not typically associated with agranulocytosis.
Choice B rationale:
Agranulocytosis, a potential side effect of clozapine, can cause symptoms like a sore throat and muscle aches due to the body’s decreased ability to fight off infections.
Choice C rationale:
Increased anxiety and suicidal ideations are not typically symptoms of agranulocytosis.
Choice D rationale:
Severe restlessness is not a common symptom of agranulocytosis.

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A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 is B

Explanation

A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Correct Answer is B

Explanation

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A nurse in an acute mental health unit is admitting a client who has bipolar disorder.

Which of the following findings supports the admitting diagnosis of acute mania?