Nclex-rn Readiness Test 6
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Nclex-rn Readiness Test 6
1130: 25-year-old female reporting to the clinic for a regularly scheduled follow-up. She is being treated for bipolar disorder with lamotrigine and valproic acid. The client indicates that she 'doesn't feel better.' Over the past few weeks, she stated that 'she feels high, but yet feels low.' During the assessment, the client was alert and oriented but had a constricted affect. She described her mood as 'whatever'. She denies suicidal ideations and hallucinations. She reports her sleep has been 'terrible' and that she 'cannot turn her mind off when she lays down.'
- Discontinue valproic acid
- Discontinue lamotrigine
- Start lithium 900 mg PO twice a day
- Follow-up visit in 3 weeks
The nurse reviews the physician's orders and educates the client on the prescribed lithium
➢ Complete the sentences below by choosing from the list of options
The nurse should instruct the client that they will need to have a consistent intake of [calcium rich / sodium rich / potassium rich] foods. The client should also [take this medication only with water. / maintain a daily fluid intake of 2 to 3 liters. / be in a upright position for 30 minutes after taking the medication.] The client should also be informed to expect this medication to cause [excessive hair growth. / a fine hand tremor. / weight loss.] The nurse should also inform the client that periodic laboratory testing will be required and will include monitoring the [thyroid panel. / liver enzymes. / creatine kinase (CK).]
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