A patient with bipolar disorder, mania, relapsed after discontinuing lithium. The health care provider prescribes lithium 600 mg BID and olanzapine (Zyprexa) 10 mg BID
What is the rationale for addition of olanzapine to the lithium regime? It will: a. minimize the side effects of lithium.
b. bring hyperactivity under rapid control.
c. potentiate the antimanic action of lithium.
d. be used for long-term control of hyperactivity.
B
Manic symptoms are controlled by lithium only after a therapeutic serum level is attained. Because this takes several days to accomplish, a drug with rapid onset is initially necessary to reduce the hyperactivity. Antipsychotic drugs neither enhance lithium's antimanic activity nor minimize the side effects. Lithium will be used for long-term control.
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While in the dayroom, one of the patients becomes very agitated and begins to threaten to harm the other patients and is directing violence at the other patients and staff. Appropriate nursing implementations include:
1. decreasing stimuli and using restraints if all other measures fail. 2. offering to call the physician and telling other staff to call security. 3. removing harmful objects and trying to do relaxation exercises with the patient. 4. restraining the patient and keeping him NPO.
Two days after having coronary bypass grafting, a patient develops atrial fibrillation. The patient is tolerating the rhythm. What is the nurse's initial action?
1. Have the patient cough. 2. Do an electrocardiogram (ECG). 3. Increase the patient's IV rate. 4. Notify the health care provider.
Which of the following would be a behavior-specific cognition and affect variable according to Pender's model?
a. Commitment to a plan of action b. Competing demands (family or work) c. Perceived self-efficacy d. Personal realities such as demographics
Mr. Paul takes eight different prescription medications plus several OTC medications. Taking multiple medications is called ________.
Fill in the blank(s) with the appropriate word(s).