« previous next »

Author Question: A patient with mania relapsed after discontinuing lithium. New orders are written to resume lithium ... (Read 73 times)

aabwk4

  • Hero Member
  • *****
  • Posts: 593
on: Jul 19, 2018
A patient with mania relapsed after discontinuing lithium. New orders are written to resume lithium twice daily and begin olanzapine (Zyprexa). The addition of olanzapine to the medication regimen will:
 
  a. minimize the side effects of lithium.
  b. bring hyperactivity under rapid control.
  c. enhance the antimanic actions of lithium.
  d. be used for long-term control of hyperactivity.

Question 2

This nursing diagnosis applies to a patient with mania: Imbalanced nutrition: less than body requirements related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. Select the most appropriate outcome.
 
  The patient will:
 
  a. ask staff for assistance with feeding within 4 days.
  b. drink six servings of a high-calorie, high-protein drink each day.
  c. consistently sit with others for at least 30 minutes at mealtime within 1 week.
  d. consistently wear appropriate attire for age and sex within 1 week while in the psychiatric unit.


bob

  • Sr. Member
  • ****
  • Posts: 343
Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: B
Manic symptoms are controlled by lithium only after a therapeutic serum level is attained. Because this takes several days to accomplish, a drug with rapid onset is necessary to reduce the hyperactivity initially. Antipsychotic drugs neither enhance lithium's antimanic activity nor minimize the side effects. Lithium is used for long-term control.

Answer to Question 2

ANS: B
High-calorie, high-protein food supplements will provide the additional calories needed to offset the patient's extreme hyperactivity. Sitting with others or asking for assistance does not mean the patient will eat or drink. The other indicator is unrelated to the nursing diagnosis.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Patient Position for Posterior Percussion Patient Position for Posterior Percussion
Caring for a patient on isolation precautions Caring for a patient on isolation precautions
Assisting the patient to transfer from the bed or examining table to a wheelchair. Assisting the patient to transfer from the bed or examining table to a wheelchair.
Instructing a Patient on Breast Self-Examination Instructing a Patient on Breast Self-Examination
Examples of endocrine disorders. (B) A patient with a goiter. Examples of endocrine disorders. (B) A patient with a goiter.
Video: Sigmoidoscopy

For a complete list of videos, visit our video library