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

lemonade

meals

large glass of juice

an antacid

Answer and Explanation

The Correct Answer is B

Rationale:
A. Lemonade may mask the taste of lithium but does not significantly reduce gastrointestinal irritation.
B. Taking lithium with meals helps buffer the stomach lining, reducing nausea and other GI side effects.
C. A large glass of juice may dilute the medication but does not provide the same protective effect as food.
D. An antacid may help with indigestion, but it is not the primary recommendation for preventing nausea from lithium; additionally, some antacids can alter lithium absorption.

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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.

A. shortness of breath, gastrointestinal distress, chronic cough B. weakness, nausea, diarrhea C. ECG changes, chest pain, dizziness D. gastrointestinal distress, thirst, nystagmus

Correct Answer is B

Explanation

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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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

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Naxlex Comprehensive Predictor Exams

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

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Correct Answer is B

Explanation

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