The husband of a bipolar client asks the nurse what causes manic disorder. The nurse should respond
that the actual cause has not been determined but that
a. several factors, including heredity, may have roles.
b. excess norepinephrine is probably a major factor.
c. brain structures have been altered by stress early in life.
d. bipolar clients may have excess dopamine receptors.
A
The best explanation at this time is that bipolar disorder is most likely caused by an interplay of
complex independent variables. Various theories implicate genetics, endocrine imbalance, early
stress, and neurotransmitter imbalances.
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A nurse is admitting a patient to the hospital. The patient reports taking oral baclofen [Lioresal] but stopped taking the drug the day before admission. The nurse would be correct to anticipate which adverse effects?
a. Weakness and dizziness b. Fatigue and drowsiness c. Seizures and hallucinations d. Respiratory depression and coma
An older adult patient admitted to the intensive care unit with acute respiratory injury from aspiration is at risk for developing critical illness polyneuropathy (CIP). What information does the nurse provide to this client's family?
1. Prevention of this condition is important because very few persons experience complete recovery. 2. Tight control of blood glucose may help prevent this condition. 3. The major concern with this illness is impairment of the patient's ability to breath. 4. If this condition develops intensive antibiotic therapy will be necessary.
A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:
a. "No, it is part of the aging process." b. "Water-soluble vaginal lubricants may provide relief." c. "You need to be evaluated for a sexually transmitted disease." d. "You may have vaginal scar tissue that is producing the discomfort."
A 5-month-old infant has been unusually irritable and has been pulling on the ears. The nurse expects that medications for this client will probably include infant acetaminophen and antibiotics for the treatment of:
1. otitis interna. 2. mastoiditis. 3. external otitis. 4. otitis media.