ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: D
Rationale: The correct answer is D: Liver function tests must be monitored. Valproate is known to potentially cause liver toxicity. Monitoring liver function tests is crucial to detect any signs of liver damage early on. This can help prevent serious complications.
A: High serum sodium levels are not directly related to valproate toxicity.
B: Thyroid function tests are not typically required for valproate use.
C: An EEG is not necessary for monitoring valproate therapy.
In summary, monitoring liver function tests is essential for clients taking valproate to ensure their safety and well-being.
Question 2 of 5
A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Have consistent unit routines. This is important for a client in the manic phase of bipolar disorder as it helps establish stability, predictability, and structure, which can help reduce agitation and promote a sense of security. Consistent routines can also assist in regulating the client's sleep patterns and energy levels.
Choices B, C, and D are incorrect. Providing a stimulating environment (
B) can exacerbate manic symptoms. Scheduling daily seclusion times (
C) may increase feelings of isolation and worsen symptoms. Discouraging daytime napping (
D) can lead to increased fatigue and potential escalation of manic behaviors.
Question 3 of 5
Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?
Correct Answer: D
Rationale: The correct answer is D because setting and maintaining consistent unit policies enforced by all staff will create a structured and stable environment crucial for managing bipolar disorder. This intervention establishes clear boundaries, promotes predictability, and reduces chaotic or unpredictable elements that can trigger mood episodes. In contrast, option A focuses on educating the client but does not address the overall unit environment. Option B only addresses individual behavior, not the overall milieu. Option C is important but does not directly impact the unit's environment.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to withhold the medication (
Choice
A) because blurred vision and ataxia are common signs of lithium toxicity. By withholding the medication, the nurse can prevent further adverse effects and complications. Continuing to administer lithium (
Choice
B) may worsen the client's condition. Propranolol (
Choice
C) is not indicated for lithium toxicity. Levothyroxine (
Choice
D) is used to treat hypothyroidism, not lithium toxicity. In summary, withholding the medication is crucial to prevent worsening of symptoms and ensuring the client's safety.
Question 5 of 5
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
Correct Answer: B
Rationale:
Correct
Answer: B: Sodium.
Rationale: Lithium is a mood stabilizer that can cause sodium depletion in the body.
Therefore, it is essential for the client to ensure an adequate intake of sodium to prevent potential side effects like hyponatremia. Sodium helps regulate fluid balance, nerve function, and muscle contractions.
Summary:
A: Vitamin K - Not directly related to lithium therapy.
C: Potassium - While potassium is important for overall health, it is not specifically mentioned in relation to lithium therapy.
D: Vitamin C - Not directly related to lithium therapy.