A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client's spouse questions the Zyprexa order. Which is the appropriate nursing reply?
A. "Zyprexa in combination with Eskalith cures manic symptoms."
B. "Zyprexa prevents extrapyramidal side effects."
C. "Zyprexa ensures a good night's sleep."
D. "Zyprexa calms hyperactivity until the Eskalith takes effect."
ANS: D
The nurse should explain to the client's spouse that Zyprexa can calm hyperactivity until the Eskalith takes effect. Eskalith may take 1 to 3 weeks to begin to decrease hyperactivity. Zyprexa is classified as an antipsychotic and can be used to immediately to reduce hyperactive symptoms in acute manic episodes.
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