A client with bipolar disorder is refusing to take mood stabilizers due to weight gain. To increase the patient’s adherence to a medication regimen, what measures could the nurse teach the client? (SELECT ALL THAT APPLY)
Have cut vegetables prepared for a snack instead of chips or cookies.
Extended-release forms of medications have fewer side effects when dissolved in water.
Weigh yourself once in the morning and once in the evening using the same scale.
Drink flavored water instead of soft drinks.
Walk 30 minutes per day, 5 days per week.
Correct Answer : A,D,E
Choice A Reason:
Have cut vegetables prepared for a snack instead of chips or cookies. This choice is correct because it encourages healthier eating habits, which can help manage weight gain associated with mood stabilizers. Vegetables are low in calories and high in nutrients, making them a better alternative to high-calorie snacks like chips and cookies. This can help the client maintain a healthy weight while adhering to their medication regimen.
Choice B Reason:
Extended-release forms of medications have fewer side effects when dissolved in water. This choice is incorrect. Extended-release medications are designed to be released slowly over time and should not be dissolved in water. Dissolving them can alter their release mechanism, leading to potential side effects and reduced efficacy.
Choice C Reason:
Weigh yourself once in the morning and once in the evening using the same scale. This choice is incorrect. Weighing oneself multiple times a day can lead to unnecessary anxiety and obsession over weight fluctuations, which are normal throughout the day. It is generally recommended to weigh oneself once a week at the same time of day for a more accurate measure of weight trends.
Choice D Reason:
Drink flavored water instead of soft drinks. This choice is correct because it promotes healthier beverage choices. Soft drinks are high in sugar and calories, which can contribute to weight gain. Flavored water, on the other hand, can be a refreshing and low-calorie alternative, helping the client manage their weight while staying hydrated.
Choice E Reason:
Walk 30 minutes per day, 5 days per week. This choice is correct because regular physical activity is essential for maintaining a healthy weight and overall well-being. Walking is a low-impact exercise that can help burn calories, improve mood, and enhance adherence to a medication regimen by reducing the side effects of weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
The correct answer is a, b, and e.
Choice A Reason:
The patient’s partner’s act of sending flowers is an example of undoing. Undoing is a defense mechanism where a person tries to cancel out or remove an unhealthy, destructive, or otherwise threatening thought or action by engaging in contrary behavior. In this case, the partner is attempting to make amends for the abuse by sending flowers, which is a common tactic used by abusers to mitigate their guilt and manipulate the victim into forgiving them.
Choice B Reason:
The patient and partner are in the honeymoon phase of intimate partner violence. The cycle of abuse in intimate partner violence typically includes a honeymoon phase, where the abuser may apologize, show remorse, and promise to change. This phase often involves gestures of affection and kindness, such as sending flowers or gifts, to win back the victim’s trust and prevent them from leaving.
Choice C Reason:
The patient has a submissive personality and depression. While it is possible that the patient may have a submissive personality and depression, this conclusion cannot be definitively made based on the given scenario alone. Submissive personality traits and depression are complex and require thorough psychological evaluation to diagnose accurately.
Choice D Reason:
Since the injuries have caused hospitalization, the patient will end the relationship. This conclusion is not necessarily accurate. Victims of intimate partner violence often face significant psychological, emotional, and practical barriers to leaving an abusive relationship, even after severe incidents that result in hospitalization. The decision to leave an abusive relationship is influenced by various factors, including fear, financial dependence, emotional attachment, and lack of support.
Choice E Reason:
The partner may be trying to manipulate the staff by buying pizza. Manipulative behavior is common in abusive relationships. By buying pizza for the staff, the partner may be attempting to create a favorable impression and gain sympathy, which can influence the staff’s perception of the situation and potentially affect their support for the patient.
Correct Answer is ["125"]
Explanation
Calculation Steps
Step 1: Convert 1 liter to milliliters (mL).
1 liter = 1000 mL
Result: 1000 mL
Step 2: Determine the total time in hours.
Total time = 8 hours
Result: 8 hours
Step 3: Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate = Total volume (mL) ÷ Total time (hours)
Step 4: Perform the division.
1000 mL ÷ 8 hours = 125 mL/hr
Result: 125 mL/hr
Therefore, the nurse should set the infusion pump to 125 mL/hr.
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