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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Bipolar I disorder involves episodes of full mania, not just hypomania.
B. Bipolar II disorder is characterized by alternating episodes of hypomania and major depression (often mild to moderate).
C. Cyclothymic disorder involves milder mood swings but does not meet criteria for hypomania or major depression.
D. Schizophrenia is a psychotic disorder, not primarily a mood disorder with hypomanic and depressive episodes.
Correct Answer is D
Explanation
Rationale:
A. Stew requires sitting still to eat with utensils, which can be difficult for a patient with acute mania due to poor concentration and hyperactivity.
B. Casserole and vegetables also require time and utensils; not ideal for someone who needs quick, portable options.
C. Spaghetti and salad are not easily eaten on the go and may be left unfinished by a hyperactive patient.
D. Finger foods and a high-protein shake allow quick, easy eating, meet nutritional needs, and are better suited to the distractibility and restlessness seen in acute mania.
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