Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?
"Attention span short; writing copious notes; intrudes in conversations."
"Irritable, suggestible, distractible; napped for 10 minutes in afternoon."
"Converses with few interruptions; clothing matches; participates in activities."
"Heavy makeup; seductive toward staff; pressured speech."
The Correct Answer is C
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.
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 A
Explanation
Rationale:
A. Severe diarrhea, worsening tremor, weakness, and unsteady gait are signs of possible lithium toxicity, which requires immediate medical evaluation; the patient should be brought to the clinic promptly.
B. Restricting fluids can worsen dehydration and increase lithium concentration, making toxicity more likely.
C. Taking an antidiarrheal does not address the underlying problem and may delay urgent treatment.
D. Adding salt and water will not reverse toxicity and could delay necessary medical intervention.
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