« previous next »

Author Question: A patient with mania relapsed after discontinuing lithium. New orders are written to resume lithium ... (Read 82 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?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

The nurse assists the patient in reflecting on his feelings The nurse assists the patient in reflecting on his feelings
Example of problem focused patient Example of problem focused patient
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Each patient is greeted by the receptionist. Each patient is greeted by the receptionist.
(A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ... (A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ...
Koplik spots in the mouth of a patient with measles. Koplik spots in the mouth of a patient with measles.
Video: Resting membrane potential - electrical polarity and maintenance requirements

For a complete list of videos, visit our video library