A patient with bipolar II disorder is most likely to experience:

Persistent low-grade depression without hypomania

Psychosis during manic episodes

Hypomanic episodes alternating with major depressive episodes

Severe manic episodes

Answer and Explanation

The Correct Answer is C

A. Persistent low-grade depression without hypomania is not typical of bipolar II disorder, as hypomanic episodes are a key feature of the disorder.

B. Psychosis is more common during full manic episodes, typically seen in bipolar I disorder, not bipolar II.

C. Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania, and individuals with bipolar II do not experience full manic episodes as in bipolar I.

D. Severe manic episodes are characteristic of bipolar I disorder, not bipolar II, which involves hypomanic episodes instead.

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Correct Answer is B

Explanation

A. While gastrointestinal side effects are common with fluoxetine, they are not the priority concern in the context of bipolar disorder.

B. Fluoxetine (Prozac) is an SSRI used to treat depression, but in patients with bipolar disorder, it can trigger a manic episode. Therefore, the nurse's priority is to monitor for signs of mania, such as increased energy, euphoria, or impulsivity.

C. Administering the medication as ordered is essential, but the nurse must be vigilant for signs of mania, especially with SSRIs in bipolar patients.

D. Educating about weight gain is important but does not address the immediate risk of precipitating mania with fluoxetine in a bipolar patient.

A. The lithium level is within the therapeutic level for initial treatment. B. A blood lithium level of 1.8 mEq/L is not within the maintenance treatment level. C. The lithium level is below the therapeutic treatment level. D. The lithium level is at the toxic level.

Correct Answer is D

Explanation

A. A level of 1.8 mEq/L is too high for initial treatment, as it is above the therapeutic range.

B. A level of 1.8 mEq/L is not within the maintenance treatment level, which is typically 0.6–1.2 mEq/L.

C. The level is above the therapeutic level, not below it.

D. A lithium level of 1.8 mEq/L is above the therapeutic range (0.6–1.2 mEq/L) and is considered toxic. Toxicity can lead to serious side effects like tremors, confusion, and renal dysfunction.

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A patient with bipolar II disorder is most likely to experience:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?

Correct Answer is B

Explanation

A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?

Correct Answer is D

Explanation

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Which patient is at the highest risk of developing postpartum depression?

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

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A nursing student reports experiencing test-taking anxiety, including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?