A nurse knows that lithium should be measured at least how many days after beginning lithium therapy and after any dosage change when?

Two weeks

1 month

5 days

1 day

Answer and Explanation

The Correct Answer is C

Rationale:
A. Suggesting it is unusual for the provider to continue lithium could undermine trust in the treatment plan and is inaccurate.
B. Lithium is typically continued long-term or indefinitely to prevent relapse, not just for 6 months.
C. Continuing daily lithium helps maintain mood stability and significantly reduces the risk of relapse in bipolar disorder, even when the patient feels well.
D. Stopping lithium after only 1 month of stability greatly increases the likelihood of recurrence of manic or depressive episodes.

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Correct Answer is C

Explanation

Rationale:
A. Restraining should only be used as a last resort when the patient poses an imminent danger to self or others, not as an initial intervention.
B. Allowing the patient to act out feelings without limits can lead to unsafe behaviors and escalate manic symptoms.
C. Setting limits on behavior provides structure, maintains safety, and helps the patient with mania feel more secure and contained.
D. Providing verbal instructions to remain calm is ineffective in acute mania, as the patient’s ability to process and follow directions is impaired.

A. "ECT is contraindicated for clients who have suicidal ideation." B. "ECT is prescribed to prevent relapse of bipolar disorder." C. "ECT is effective for clients who are experiencing severe mania." D. "ECT is the recommended initial treatment for bipolar disorder."

Correct Answer is C

Explanation

Rationale:
A. ECT is actually indicated for clients with severe depression or suicidal ideation when rapid symptom relief is necessary.
B. ECT is primarily used for acute treatment, not for relapse prevention. Maintenance medications are typically used to prevent relapse.
C. ECT can be an effective treatment for clients with severe manic episodes, especially when other treatments have failed or the client is a danger to themselves or others.
D. ECT is not first-line; mood stabilizers and antipsychotics are typically used first. ECT is reserved for treatment-resistant or severe cases.

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A nurse knows that lithium should be measured at least how many days after beginning lithium therapy and after any dosage change when?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?

Correct Answer is C

Explanation

A nurse is teaching a new RN about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the new RN indicates understanding?

Correct Answer is C

Explanation

An outpatient diagnosed with bipolar disorder is prescribed lithium. The patient telephones the nurse to say, "I've had severe diarrhea for 4 days. I feel very weak and unsteady when I walk. My usual hand tremor has gotten worse. What should I do?" The nurse will advise the patient to

A nurse is caring for a patient with mania. She knows this person would experience issues with disorganized thoughts and speech patterns. Select the evident ways in which disorganized speech might be manifested. (Select all that apply).

An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The patient reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with

A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?

Which dinner menu is best suited for a patient with acute mania?

A newly diagnosed patient is prescribed lithium. Which information from the patient's history indicates that monitoring of serum concentrations of the drug will be challenging and critical?

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?

A patient has been admitted and the nurse suspect lithium toxicity. What symptoms should be suspected with a patient who has to