A nurse presents a psychoeducational program to patients with bipolar disorder and their families. Information about signs of impending relapse of depressive episode should include

a. diarrhea, thirst, and gross tremor.
b. sleep disturbances and racing thoughts.
c. decreased libido, anhedonia, and inertia.
d. anorexia, excessive guilt, and aggression.


C
Relapse symptoms are congruent with early symptoms of a depressive episode. They include decreased libido, loss of pleasure, and lack of energy. Sleeping less, experiencing racing thoughts, experiencing aggression, and having boundless energy suggest impending mania. Diarrhea, thirst, and tremor relate to lithium side effects.

Nursing

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A medical-surgical nurse is being reprimanded by the manager. The nurse did not follow unit policy in relaying a client?s complaint regarding another staff member. The nurse insists they managed the situation appropriately

Which action would be appropriate for the manager to discuss with the nurse? 1. Schedule a follow-up meeting. 2. Explore alternative solutions to the situation. 3. Meet with the human resources director. 4. Discuss the nurse?s competence.

Nursing

The nurse is measuring central venous pressure readings for a client receiving fluid resuscitation. Prior to obtaining the reading, what priority nursing action is required?

A) Have the head of the bed at 90°. B) Ensure the level of the transducer is at the level of the right atrium. C) Ensure the transducer is above the level of the heart. D) Ensure the transducer is 2 inches below the level of the heart.

Nursing

A patient has been brought to the dermatology clinic after a mole excision on the back of his neck. A keloid has formed in this area. The nurse knows that the treatment plan for this patient may consist of which of the following interventions?

A) Topical corticosteroid B) Intralesional corticosteroid C) Biopsy D) Chemotherapy

Nursing

A patient weighs 110 lb. Available is 25,000 units of heparin in 1000 mL of D5W. The physician orders a heparin sodium IV bolus of 80 units/kg and start the drip at 18 units/kg/hr. What is the heparin bolus dosage?

A) 900 units/hr B) 1000 units/hr C) 3900 units D) 4000 units

Nursing