A patient with a long history of multiple sclerosis developed psychosis with acute mani
a. The nurse should anticipate that the health care provider will probably prescribe which medication to help stabilize the mania?
a. Lithium (Lithobid)
b. Amitriptyline (Elavil)
c. Divalproex (Depakote)
d. Diphenhydramine (Benadryl)
C
The valproates are first-line drugs for treatment of manic episodes associated with bipolar disorder or resulting from general medical problems. They have a rapid onset and are well tolerated. Lithium takes 7 to 10 days to modify symptoms. Diphenhydramine and amitriptyline have sedative side effects but would not stabilize the mania.
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A patient with mastoiditis is admitted to the post-surgical unit after undergoing a radical mastoidectomy. The nurse should identify what priority of postoperative care?
A) Assessing for mouth droop and decreased lateral eye gaze B) Assessing for increased middle ear pressure and perforated ear drum C) Assessing for gradual onset of conductive hearing loss and nystagmus D) Assessing for scar tissue and cerumen obstructing the auditory canal
As with the metric system, the units of measure of the apothecary system are written after the
quantity. Indicate whether the statement is true or false
A client is prescribed 15 mg of flurazepam for sleep that could be repeated if the client were unable to sleep. At 0100, the client complains of inability to sleep. Should the night nurse give the client a second dose of flurazepam?
a. It is prescribed, so the nurse should administer it. b. Yes, after trying to determine why the client is unable to sleep. c. Probably no; she should wait until 4 a.m. to see if the client can sleep on his or her own. d. No, it is too late for a second dose.
The nurse is preparing a 38-year-old pregnant woman for an amniocentesis to determine if there are any congenital disorders or fetal abnormalities present. Which of the following is a nursing consideration before and during the testing?
A) Instruct the patient not to empty her bladder before the test. B) Monitor the woman's vital signs during the test and for one day afterward. C) Use an external fetal heart monitor to ensure fetus is not in distress. D) Instruct the woman that minor bleeding and cramping normally occur within 24 hours.