A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate (Lithobid) because of excessive weight gain. In order to increase adherence, which medication should a nurse anticipate that a physician may prescribe?
1. Sertraline (Zoloft)
2. Valproic acid (Depakote)
3. Trazodone (Desyrel)
4. Paroxetine (Paxil)
2
Rationale: The nurse should anticipate that the physician may prescribe valproic acid in order to increase this client's medication adherence. Valproic acid is an anticonvulsant medication that can be used to treat bipolar disorder. One of the side effects of this medication is weight loss.
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a. How would you explain to her the difference between acute and chronic? b. What are the signs and symptoms of each?
Which factor is most important when determining if an organized sport is safe for a child to participate in?
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A nurse is working on a pediatric unit and notices that many of the children on the unit are admitted with a communicable disease. She realizes that the best action she can take to prevent the spread of communicable diseases is:
1. Hand washing. 2. Wearing gloves. 3. Wearing gloves and a gown. 4. Placing the child in isolation.