Author Question: A client with rapid cycling bipolar disorder is not responding well to lithium. The client tells the ... (Read 23 times)

MirandaLo

  • Hero Member
  • *****
  • Posts: 538
A client with rapid cycling bipolar disorder is not responding well to lithium. The client tells the nurse, It feels as though I'll never get well. I get better, then I get worse. The reply that is based on knowledge of current therapy would be:
 
  1. You're feeling very discouraged aren't you?
  2. It's not all bad, is it? Sometimes you like being high.
  3. Another drug, valproic acid, is proving effective for rapid cycling.
  4. If your kidneys hold out, the lithium will eventually control the symptoms.

Question 2

To understand what to expect following administration of a benzodiazepine, the nurse must un-derstand that benzodiazepines:
 
  1. Enhance the activity of GABA
  2. Reduce availability of GABA
  3. Interact with serotonin to increase availability
  4. Diminish GABA activity



Jane

  • Sr. Member
  • ****
  • Posts: 309
Answer to Question 1

ANS: 3
Valproic acid is a first line agent for the treatment of bipolar disorder. It is particularly effective with rapid cycling. The other options are not responsive to the question stem, which asks for knowledge of current therapy.

Answer to Question 2

ANS: 1
Benzodiazepines enhance the activity of GABA, producing sedation, making it appropriate for the nurse to assess for lessening of anxiety and agitation, drowsiness, etc. 2. There is no effect on availability of GABA. 3. This is not a function of GABA. 4. Benzodiazepines do not diminish GABA activity; they enhance it.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Nearly 31 million adults in America have a total cholesterol level that is more than 240 mg per dL.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

Essential fatty acids have been shown to be effective against ulcers, asthma, dental cavities, and skin disorders such as acne.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

For a complete list of videos, visit our video library