When caring for a client with mania, which of the following would ...

[krzymel]

When caring for a client with mania, which of the following would the nurse most likely assess?
 
  A) Unusual self-confidence
  B) Slow, repetitive speech
  C) Logical thinking
  D) Narrowed focus

Question 2

A client receiving lithium therapy has a plasma concentration of 2.2 mEq/L. Which of the following would the nurse expect to assess?
 
  A) Slurred speech
  B) Fine resting hand tremor
  C) Loose stools
  D) Muscular weakness

[AaaA]

Answer to Question 1

Ans: A
Mania is easily recognized by the cognitive changes that occur. Elevated self-esteem is expressed as grandiosity (exaggerating personal importance) and may range from unusual self-confidence to grandiose delusions. Speech is pressured; the person is more talkative than usual and at times is difficult to interrupt. There is often a flight of ideas (illogical connections between thoughts) or racing thoughts. Distractibility increases.

Answer to Question 2

Ans: A
A plasma lithium concentration of 2.2 mEq/L indicates moderate toxicity, which would be evidenced by slurred speech, lack of coordination, mild to moderate ataxia, and severe diarrhea. A fine resting hand tremor, loose stools, and muscular weakness are mild side effects, which are seen with plasma concentrations less than 1.5 mEq/L.