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. 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.

A. "ECT is contraindicated for clients who have suicidal ideation." B. "ECT is prescribed to prevent relapse of bipolar disorder." C. "ECT is effective for clients who are experiencing severe mania." D. "ECT is the recommended initial treatment for bipolar disorder."

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.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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

Four new patients were admitted to the behavioral health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these patients for safety. Which patient will need the most watchful supervision? A patient diagnosed with

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).

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

A newly diagnosed patient is prescribed lithium. Which information from the patient's history indicates that monitoring of serum concentrations of the drug will be challenging and critical?

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?

When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?

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).

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