A patient hospitalized with a mood disorder has aggression, agitation, talkativeness, and irritability. A nurse begins the care plan based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n):

a. anticholinergic
b. mood stabilizer
c. psychostimulant
d. antidepressant


ANS: B
The symptoms describe a manic attack. Mania is effectively treated by the antimanic drug lithium and selected anticonvulsants such as carbamazepine, valproic acid, and lamotrigine. No drugs from the other classifications listed are effective in the treatment of mania.

Nursing

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As part of a teaching plan for a young man who is undergoing fertility studies, the nurse would include:

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When assessing the client's AV fistula, the nurse notes vibration at the fistula site. How should the nurse respond to this finding?

A. Contact the health care provider. B. Ask the client how long this has occurred. C. Determine when the fistula was placed. D. Document the finding.

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