Author Question: A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago. The ... (Read 59 times)

lbcchick · **on:** Jul 19, 2018

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

A. That's strange. Weight loss is the typical pattern.
B. What have you been eating? Weight gain is not usually associated with lithium.
C. Weight gain is a common but troubling side effect.
D. Weight gain occurs only during the first month of treatment with this drug.

Question 2

A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client's spouse questions the Zyprexa order.

Which is the appropriate nursing reply? A. Zyprexa in combination with Eskalith cures manic symptoms.
B. Zyprexa prevents extrapyramidal side effects.
C. Zyprexa ensures a good night's sleep.
D. Zyprexa calms hyperactivity until the Eskalith takes effect.

canderson530 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
The nurse should explain to the client that weight gain is a common side effect of lithium carbonate. The nurse should educate the client on the importance of medication compliance and discuss concerns with the prescribing physician if the client does not wish to continue taking the medication.

Answer to Question 2

D
The nurse should explain to the client's spouse that Zyprexa can calm hyperactivity until the Eskalith takes effect. Eskalith may take 1 to 3 weeks to begin to decrease hyperactivity. Zyprexa is classified as an antipsychotic and can be used to immediately to reduce hyperactive symptoms in acute manic episodes.