A patient with bipolar disorder and who takes lithium telephones the nurse at the clinic to say, I've had severe diarrhea for 4 days. I feel very weak and unsteady when I walk. My usual hand tremor has gotten worse. What should I do?
The nurse should advise the patient:
a. Restrict food and fluids for 24 hours, and stay in bed.
b. Have someone bring you to the clinic immediately.
c. Drink a large glass of water with 1 teaspoon of salt added.
d. Take an over-the-counter antidiarrheal medication hourly until the diarrhea subsides.
Question 2
A patient with acute mania is dancing atop the pool table in the recreation room. The patient waves a cue in one hand and says, I'll throw the pool balls if anyone comes near me. The nurse's first intervention is to:
a. tell the patient, You need to be secluded.
b. clear the room of all other patients.
c. help the patient down from the table.
d. assemble a show of force.
The patient interview often requires note taking.
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