During the maintenance phase of treatment a client asks the nurse "Do I have to keep taking this
lithium even though my mood is stable now?" The most appropriate response is
a. "You will be able to stop the medication at the end of the month.".
b. "Usually clients take medication for approximately 6 months after discharge.".
c. "It is odd that the physician has not already discontinued your medication.".
d. "Taking the medication each day helps prevent relapses and recurrences.".
D
Bipolar clients may be maintained on lithium indefinitely to prevent recurrences. Helping the client
understand this need will promote medication compliance. Option A: This is untrue. Option B:
Medication will be taken over a longer period. Option C: It is expected that the client will take
medication for a long time.
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A student nurse is caring for a client with suspected cardiovascular disease. The nursing instructor asks the student what side effects a client may experience when undergoing a magnetic resonance imaging (MRI) test
What should the student respond? A) Swollen feet B) Sweating C) Rapid heart rate D) Sluggishness
A nurse observes a group of inpatient clients who are participating in milieu therapy. Which statement accurately reflects the principles of milieu therapy?
A) The daily schedule allows for plenty of peace and calm to promote healing. B) Unit responsibilities are divided equally among all clients. C) A democratic form of government exists within the therapeutic community. D) The individual is the sole focus of therapy.
The nurse caring for a client with meningitis knows that signs and symptoms of meningitis usually appear abruptly. Which of the following are signs of this condition? Select all answers that apply
A) Impaired bladder function B) Photophobia C) Nuchal rigidity D) Loss of sensation E) Change in LOC F) Opisthotonos
Select the true statement about the properties of fluconazole (Diflucan) that makes it a good choice in the treatment of cryptococcal and coccidioidal meningitis.
A. It has high penetration into the cerebrospinal fluid. B. It is a water-soluble drug absorbed almost completely after an oral dose but has no effect on the central nervous system. C. It can be taken for 3 to 4 months to ensure penetration of the CSF because it has very few adverse effects. D. All of these are correct.