The spouse of a patient diagnosed with bipolar disorder tells the nurse, "Every time my partner recovers from a manic episode, depression follows soon. It's very discouraging." The nurse's reply should include what information?
a. As the partner ages, rapid cycling will decrease.
b. Combining lithium with haloperidol (Haldol) might prevent rapid cycling.
c. Depression associated with bipolar disorder is usually time-limited, so treatment is not indicated.
d. Recent addition of olanzapine (Zyprexa) to this patient's drug regime can be helpful as a mood stabilizer.
D
Olanzapine, an atypical antipsychotic, has proven effective in controlling mania and acting as a mood stabilizer to reduce depression following treatment for acute mania. The other statements are incorrect or irrelevant.
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A woman has undergone fine needle biopsy of a breast lump. Which statement would the nurse evaluate as indicating that the patient understands discharge teaching?
1. "Even if this lump was cancer, it is all gone now.". 2. "I will massage my breast twice daily for the next week.". 3. "I can go back to work today if I wish.". 4. "There is no risk of infection with this procedure.".
Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient (select all that apply)?
a. Observe for depression. b. Review laboratory results. c. Assess teeth and oral mucosa. d. Ask about transportation needs. e. Determine food likes and dislikes.
During the initial prenatal visit, the nurse assesses the history of the father of the child for which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Stability of living conditions 2. Blood type and Rh type 3. Significant health problems 4. Nutritional history 5. Current use of tobacco
The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid. What action should the nurse take? (Select all that apply.)
a. Give the enema slowly. b. Place the patient in the dorsal recumbent position on a bedpan. c. Give the enema with the patient on the toilet. d. Give the enema in the right lateral position. e. Give the enema faster.