A client is admitted to a hospital for treatment for first-time acute symptoms of mania. The nurse anticipates the provider will prescribe which of the following medications?
Lithium [Lithobid]
Diazepam [Valium]
Bupropion [Wellbutrin]
Paroxetine [Paxil]
The Correct Answer is A
A. Lithium is a mood stabilizer commonly used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is a benzodiazepine used for anxiety, not for acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating mania.
D. Paroxetine (Paxil) is an antidepressant, and while it may be used for depression, it is not indicated for treating acute mania.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Morphine is used for pain relief and to reduce stress on the heart during an acute myocardial infarction but is not continued indefinitely.
B. Heparin is an anticoagulant used during an acute myocardial infarction but is not used long-term; it is typically administered during hospitalization.
C. Streptokinase is a thrombolytic agent used to dissolve clots during an acute myocardial infarction but is not continued after the initial treatment.
D. Aspirin is an antiplatelet medication that helps prevent clot formation and is continued indefinitely after an acute myocardial infarction to reduce the risk of future events.
Correct Answer is C
Explanation
A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.
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