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Neebs Fundamentals Of M.H Ch 12 Bipolar Disorders Questions With Correct Answers
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Neebs Fundamentals Of M.H Ch 12 Bipolar Disorders Questions With Correct Answers
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Neebs Fundamentals Of M.H Ch 12 Bipolar DisordersQuestions With Correct Answers
Mrs. A is admitted to the med/surg unit with a dx of dehydration and
pneumonia. She has a hx of bipolar disorder and is controlled on lithium.
As her nurse, you know you must: Correct Answer-observe for signs of
lithium toxicity b/c dehydration can precipitate serious side effects of
lithium; which include: 1.5-2.0 mEq/L blurred vision, ataxia, tinnitus,
n/v, and diarrhea; 2.0-3.5 mEq/L excessive output of dilute urine,
increased tremors, and confusion; >3.5 mEq/L seizures, coma, oliguria,
arrhythmias, and cardiovascular collapse
Mrs. D has an appointment with the doctor. She began taking lithium
one month ago as prescribed. She now states that her mouth and lips are
constantly dry and she sometimes feels confused. She says, "I stagger
like im drunk sometimes when I walk." You suspect: Correct Answer-
she is dehydrated; one of the main side effects of lithium and fluid and
electrolyte imbalance; these symptoms could also be from Na depletion
Marge is a 68 year old woman with a long history of bipolar disorder l.
She is brought to the emergency room by her sister, who reports that
Marge has been increasingly agitated, is unable to sleep, and told her
daughter that the mayor was calling her for advice on running the city.
The behavior is an example of: Correct Answer-delusions of grandeur is
evidence by the patient believing the mayor is seeking her opinion;
unrealistic sense of self importance
The physician orders lithium carbonate 600 mg tid for a newly dx
bipolar patient. The therapeutic blood level for acute mania is: Correct
Answer-1.0 - 1.5 mEq/L
, Which of the following drugs is NOT classified as mood stabilizer?
Correct Answer-olanzapine b/c it is an antipsychotic used to treat
psychotic behavior in bipolar disorder but not in combo with a mood
stabilizer
Your manic patient says, "Everything I do is great." How should you
respond? Correct Answer-is there a time in your life when things didn't
go as planned
Your manic patient has lost 5 lbs and is underweight. which meal is
most appropriate? Correct Answer-chicken fingers and French fries;
manic patients need foods that are easy to eat while pacing or moving
around
A newly admitted patient in an acute manic state has a nursing dx of risk
for injury related to hyperactivity. Which nursing intervention is most
appropriate? Correct Answer-administer antipsychotic med as ordered
prn by the physican
Which statement is most true about bipolar disorder? Correct Answer-
patients with bipolar ll have major depression with hypomanic
symptoms; to be given the dx of bipolar ll the pt must have recurrent
depression with bouts of hypomania
Which category of med would NOT be given to a patient with bipolar
disorder? Correct Answer-stimulant which could easily precipitate a
manic episode or intensity a current one
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