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

shortness of breath, gastrointestinal distress, chronic cough

weakness, nausea, diarrhea

ECG changes, chest pain, dizziness

gastrointestinal distress, thirst, nystagmus

Answer and Explanation

The Correct Answer is B

Rationale:
A. Shortness of breath and chronic cough are not typical early signs of lithium toxicity; these suggest possible respiratory or cardiac issues unrelated to lithium.
B. Early signs of lithium toxicity include gastrointestinal upset (nausea, diarrhea) and neuromuscular effects such as weakness.
C. ECG changes and chest pain can occur with severe toxicity, but they are not the most common initial symptoms.
D. Thirst may be a side effect of lithium due to nephrogenic diabetes insipidus, and nystagmus can occur in severe neurotoxicity, but these are not the classic early warning signs.

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Correct Answer is A

Explanation

Rationale:
A. Poor judgment and hyperactivity are characteristic of mania, demonstrated by risky behavior (posting on official sites, inviting politicians) and prolonged activity without rest.
B. Increased muscle tension and anxiety are more typical of anxiety disorders, not classic manic episodes.
C. Vegetative signs (e.g., sleep and appetite disturbances) occur but poor grooming is more common in depression than mania.
D. Cognitive deficits and paranoia may be seen in psychosis but are not the primary features described here.

A. "Attention span short; writing copious notes; intrudes in conversations." B. "Irritable, suggestible, distractible; napped for 10 minutes in afternoon." C. "Converses with few interruptions; clothing matches; participates in activities." D. "Heavy makeup; seductive toward staff; pressured speech."

Correct Answer is C

Explanation

Rationale:
A. This indicates continued manic behavior such as distractibility and impulsivity, suggesting the treatment has not yet been effective.
B. These symptoms are consistent with acute mania, including poor sleep and distractibility, showing that the condition persists.
C. This reflects improvement in mood, behavior, and thought organization, indicating that the treatment is effective.
D. These are signs of ongoing manic behavior, especially impulsivity and rapid, excessive speech.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

Correct Answer is C

Explanation

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).

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?

The nurse receives a laboratory report indicating a patient's serum level is 1 mEq/L. The patient's last dose of lithium was 8 hours ago. This result is

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

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

A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? (Select all that apply).