Exam 16: Antimanic Drugs

Teaching for a patient who is to be discharged on a maintenance dose of lithium should emphasize the importance of management activity?

For patients diagnosed with bipolar disorder, valproate anticonvulsants are likely to help control rapid-cycling episodes by what process?

A patient's serum lithium level is 1.8 mEq/L.What is the nurse's priority action related to this evidence?

A patient with a long history of multiple sclerosis developed psychosis with acute mania.The nurse should anticipate that the health care provider will probably prescribe which medication to help stabilize the mania?

A nurse should schedule a weekly complete blood cell count (CBC) for a patient beginning therapy with which antimanic drug?

A patient has taken lithium 600 mg three times daily for 1 week.A laboratory result in which range shows that the desired serum lithium level was achieved?

When should the nurse scheduling the serum lithium level blood draw for a patient arrange for it to be obtained?

Which patient would require careful assessment for toxic effects of lithium when combined with what additional medication?

A patient has taken lithium 300 mg three times daily for 1 week.The patient reports the presence of fine hand tremors and thirst.What is the nurse's priority action to these assessment finding?

Maintenance of a therapeutic serum level of lithium is dependent on adequate serum levels of which electrolyte?

A patient with rapid-cycling bipolar disorder is not responding to lithium therapy.At the next multidisciplinary team meeting, the nurse should point out that many rapid-cycling patients have been effectively treated using what medication?

A patient who has taken lithium for 6 months reports, "I go to the bathroom many times a day and pass large amounts of very pale urine." The nurse's action should be based on the understanding that these symptoms may indicate which problem?

A patient diagnosed with mania begins lithium therapy on October 1.What is the earliest date a nurse can expect to see clinical improvement in the patient's condition?

A nurse prepares to lead a psychoeducational group for patients who take anticonvulsants to manage bipolar disorder.The nurse should invite patients who take which drugs? (Select all that apply.)

A patient who is to be discharged on a maintenance dose of lithium should be taught to report which symptoms/signs immediately? (Select all that apply.)

Before beginning lithium therapy, the nurse should educate a patient about laboratory tests to assess for adequate function of which system?

For 2 weeks a patient has taken lithium and risperidone daily for mania.The patient now reports diarrhea, vomiting, and blurred vision.The nurse observes a coarse hand tremor.What is the nurse's priority action to these assessment finding?

Which patient should be assessed most carefully for evidence of lithium toxicity when lithium is prescribed with which additional medication?

A patient diagnosed with mild lithium toxicity with a serum level of 1.6 mEq/L.Which assessment findings are most likely and will require nursing attention? (Select all that apply.)

Which assessment findings validate that a patient with bipolar disorder is experiencing mania? (Select all that apply.)