A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?

Nausea

Tremors

Skin rash

Drowsiness

Answer and Explanation

The Correct Answer is C

A. Nausea is a common side effect but is not as critical as a skin rash.

B. Tremors may occur with certain medications used in bipolar disorder but are not a specific concern with lamotrigine.

C. A skin rash is a serious adverse effect of lamotrigine, as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which require immediate medical intervention.

D. Drowsiness may occur with many medications but is not as urgent as a skin rash in this case.

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Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

A. Sleeping for long periods of time would typically indicate depression, not mania.

B. Dressing in black or grey clothing is not typically associated with mania; this could be a symptom of depression, which tends to cause social withdrawal and lack of energy.

C. Rapid, continuous speech (pressured speech) is a common symptom of mania, where the individual is unable to control the flow of conversation.

D. Spending large sums of money without regard for the consequences is a typical behavior during manic episodes, often linked to impulsivity and poor judgment.

E. Flirtatious behavior can indicate impulsivity, another characteristic of mania, where the person may act inappropriately or without regard for social boundaries.

A. “PMDD requires hormonal therapy, while PMS does not.” B. “PMDD causes only physical symptoms, while PMS involves mood changes." C. "PMDD symptoms resolve immediately after menstruation begins." D. "PMDD is a more severe form of PMS that significantly interferes with daily functioning."

Correct Answer is D

Explanation

A. Hormonal therapy may be used for PMDD but is not a distinguishing factor from PMS.

B. PMDD involves both mood and physical symptoms, unlike PMS, which primarily involves physical symptoms.

C. PMDD symptoms may persist through the beginning of menstruation, unlike PMS, which typically resolves with the onset of the period.

D. Premenstrual dysphoric disorder (PMDD) is a more severe form of premenstrual syndrome (PMS) characterized by mood disturbances, irritability, and functional impairment that significantly affect a person’s ability to function in daily life.

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A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A client with Premenstrual dysphoric disorder (PMDD) asks how her condition differs from premenstrual syndrome (PMS). What is the nurse's best response?

Correct Answer is D

Explanation

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

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