The nurse administering a lithium carbonate (Lithobid) to a child with mental retardation monitors the child for which of the following therapeutic effects?
1. Weight loss
2. Decreased agitation
3. Weight gain
4. Elevated mood
2
Rationale: Lithium carbonate (Lithobid) is the mood stabilizer used with children. Its primary use in clients with mental retardation is for severe aggression and agitation rather than for managing mania. A side effect of the medication is weight gain. Elevated mood and weight loss are not therapeutic effects of lithium carbonate (Lithobid).
You might also like to view...
Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) standards mandate that
a. orientation programs detail safety issues and precautions. b. patients' room doors remain open during hours of sleep. c. safety precautions are simple and apply commonsense behaviors. d. patients' personal belongings are kept in secure areas under staff control.
The ultrasound of a client in her 28th week of gestation indicates that the placenta extends into the myometrium. The nurse documents this finding as which of the following conditions?
A) Placenta increta B) Placenta previa C) Abruptio placentae D) Placenta percreta
A faculty member explains to the class that during the working phase of a therapeutic relationship, the nurse
a. follows the patient's lead on what topics need exploration. b. needs to establish trust through honesty and commitment. c. reflects on the professional role and its responsibilities. d. reviews the patient's status, setting goals for the interaction.
A confused patient is restless and continues to try to remove his oxygen and urinary catheter. What is the priority nursing diagnosis and intervention to implement for this patient?
a. Risk for injury: Prevent harm to patient, use restraints if alternatives fail. b. Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter. c. Disturbed body image: Encourage patient to express concerns about body. d. Caregiver role strain: Identify resources to assist with care.