Luc's family comes home one evening to find him extremely agitated and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?
Energy drink containers
Hypodermic needles
Empty soda cans
Fast food wrappers
The Correct Answer is A
Rationale:
A. Energy drink containers may be counted because excessive caffeine intake can worsen agitation and mania symptoms. Monitoring caffeine consumption is relevant in manic episodes.
B. Hypodermic needles are not typically related to mania assessment unless substance abuse is suspected.
C. Empty soda cans may contain caffeine but energy drinks have a much higher caffeine concentration, making them more clinically relevant.
D. Fast food wrappers indicate diet but are less directly related to manic behavior management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. A lithium serum level between 0.6 and 1.2 mEq/L is generally considered within the therapeutic range for maintenance treatment.
B. Above therapeutic limits would typically be >1.5 mEq/L, which increases toxicity risk.
C. While timing of blood draw is important, an 8-hour interval is acceptable for monitoring lithium levels (usually drawn 12 hours post-dose but 8 hours is still interpretable).
D. A level of 1 mEq/L is not below therapeutic limits.
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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