A client who has been diagnosed with bipolar I disorder states, "God has taught me how to decode the Bible." A nurse should anticipate that which combination of medications would be ordered to address this client's symptoms?
A. Lithium carbonate (Lithobid) and risperidone (Risperdal)
B. Lithium carbonate (Lithobid) and carbamazepine (Tegretol)
C. Valproic acid (Depakote) and sertraline (Zoloft)
D. Valproic acid (Depakote) and lamotrigine (Lamictal)
ANS: A
The patient who is experiencing psychosis (in this case, delusions of grandeur) may be benefited by the addition of an antipsychotic medication (risperidone) to the mood stabilizer (lithium). In addition, since lithium does not immediately reach therapeutic levels, the sedative properties of an antipsychotic may be useful in reducing agitation, hyperactivity, and/or insomnia.
You might also like to view...
The nurse is conducting patient teaching about cholesterol levels. When discussing the patient's elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of these levels by stating what?
A) "Increased LDL and decreased HDL increase my risk of coronary artery disease." B) "Increased LDL has the potential to decrease my risk of heart disease." C) "The decreased HDL level will increase the amount of cholesterol moved away from the artery walls." D) "The increased LDL will decrease the amount of cholesterol deposited on the artery walls."
A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" The nurse's best response is:
a. "It is due to an increase in gastric motility." b. "It may be due to changes in hormones." c. "It is related to an increase in glucose levels." d. "It is caused by a decrease in gastric secretions."
A patient with a history of progressively worsening fatigue is undergoing a comprehensive assessment which includes test of renal function relating to erythropoiesis
When assessing the oxygen transport ability of the blood, the nurse should prioritize the review of what blood value? A) Hematocrit B) Hemoglobin C) Erythrocyte sedimentation rate (ESR) D) Serum creatinine
A pregnant patient is concerned that the baby is going to drown in the uterus because of the fluid. What should the nurse respond about fetal respiration?
A) "You are breathing for the baby.". B) "The baby's breathing is very minor until delivery.". C) "The baby's lungs can accommodate all of the fluid.". D) "Oxygen is provided to the baby through the placenta.".