Which symptoms experienced over 1 month would be most helpful to ...

[sjones]

Which symptoms experienced over 1 month would be most helpful to diagnose bipolar disorder?
 
  1. Difficulty sleeping, obsession with death, hallucinations
  2. Delusions, unkempt appearance, fatigue
  3. Abnormal eating patterns, feelings of despair, flight of ideas
  4. Increased goal-directed behavior and talkativeness, distractibility

Question 2

The patient comes to the emergency department after suffering a bilateral traumatic amputation of his lower extremities. The physician orders normal serum albumin (Albuminar). The patient goes into shock. What will the best nursing assessment of this patient reveal?
 
  1. B/P: 140/90 mmHg, P: 46, weak and irregular, R: 24, and shallow.
  2. B/P: 50/0 mmHg, P: 126, weak and thready, R: 14, and shallow.
  3. B/P: 80/20 mmHg, P: 122, weak and thready, R: 28, and shallow.
  4. B/P: 130/88 mmHg, P: 90, bounding, R: 32, and shallow.

[jasonq]

Answer to Question 1

3
Rationale 1: Difficulty sleeping, obsession with death, and hallucinations are symptoms of depression.
Rationale 2: Delusions, unkempt appearance, and fatigue are symptoms of depression.
Rationale 3: Bipolar disorder involves periods of mania and depression. Abnormal eating patterns and feelings of despair are symptoms of depression, whereas flight of ideas is a symptom of mania.
Rationale 4: Increased goal-directed behavior, talkativeness, and distractibility are symptoms of mania.
Global Rationale: Bipolar disorder involves periods of mania and depression. Abnormal eating patterns and feelings of despair are symptoms of depression, whereas flight of ideas is a symptom of mania. Increased goal-directed behavior, talkativeness, and distractibility are symptoms of mania. Difficulty sleeping, obsession with death, hallucinations, delusions, unkempt appearance, and fatigue are symptoms of depression.

Answer to Question 2

3
Rationale 1: A patient in shock will have a low blood pressure; the heart rate will be rapid, not slowed.
Rationale 2: A patient in shock will have rapid respirations; a respiratory rate of 14 is considered normal.
Rationale 3: The central problem with hypovolemic shock is the inability of the cardiovascular system to send sufficient blood to the vital organs, with the heart and brain being affected early in the progression of the disease. Assessing the patient's cardiovascular status will result in a blood pressure that is low; a heart rate that may be rapid with a weak, thready pulse; and breathing that is rapid and shallow.
Rationale 4: A patient in shock will have a low blood pressure and a rapid, weak, not bounding, pulse.
Global Rationale: The central problem with hypovolemic shock is the inability of the cardiovascular system to send sufficient blood to the vital organs, with the heart and brain being affected early in the progression of the disease. Assessing the patient's cardiovascular status will result in a blood pressure that is low; a heart rate that may be rapid with a weak, thready pulse; and breathing that is rapid and shallow. A patient in shock will have a low blood pressure and a rapid, weak, not bounding, pulse. A patient in shock will have rapid respirations; a respiratory rate of 14 is considered normal. A patient in shock will have a low blood pressure; the heart rate will be rapid, not slowed.