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

Answer and Explanation

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.

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Correct Answer is B

Explanation

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.

A. within therapeutic limits B. above therapeutic limits C. invalid because of the time lapse since the last dose D. below therapeutic limits

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.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

The nurse receives a laboratory report indicating a patient's serum level is 1 mEq/L. The patient's last dose of lithium was 8 hours ago. This result is

Correct Answer is A

Explanation

A 28-year-old patient who has diagnosis of bipolar disorder I, drinks alcohol instead of taking her prescribed medications. The nursing caring for this patient recognizes that:

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The nurse is creating a plan of care for a client with mania and determines that the client is experiencing disturbed thoughts. Which activity related to disturbed thoughts should the nurse provide for the client initially?

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).

Which dinner menu is best suited for a patient with acute mania?

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).

Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

The nurse understands that the client alternating between hypomania and mild to moderate depression is experiencing which disorder?