A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania.

Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.

Fluvastatin.

Lorazepam.

Carbamazepine.

Propranolol.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Fluvastatin is a medication used to treat high cholesterol. It is not used to treat mania in bipolar disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used for treating anxiety, not typically used as a first-line treatment for mania.
Choice C rationale:
Carbamazepine is an anticonvulsant that is used as a mood stabilizer in the treatment of bipolar disorder. It can help reduce symptoms of mania.
Choice D rationale:
Propranolol is a beta-blocker used to treat high blood pressure and heart conditions. It is not typically used to treat mania in bipolar disorder.

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Correct Answer is C

Explanation

Choice A rationale:
Ensuring the client goes to group activities as planned is important, but not the priority when the client is confused and has distorted thinking.
Choice B rationale:
Using distraction such as television or music can be helpful, but it is not the priority intervention.
Choice C rationale:
Providing reassurance and comfort ensuring the client is safe is the priority as it directly addresses the client’s immediate needs.
Choice D rationale:
Giving PRN medications to treat increased hallucinations may be necessary, but it is not the first action to take.

A. A client who has a BUN of 22 mg/dL. B. A client who has a serum potassium of 3.3 mEq/L. C. A client who has a hematocrit of 55%. D. A client who has a WBC of 2,900 cells/mm².

Correct Answer is D

Explanation

Choice A rationale:

A BUN of 22 mg/dL is slightly elevated but not a contraindication for clozapine.

Choice B rationale:

A serum potassium of 3.3 mEq/L is slightly low but not a contraindication for clozapine.

Choice C rationale:

A hematocrit of 55% is high but not a contraindication for clozapine.

Choice D rationale:

A WBC of 2,900 cells/mm² is low and can indicate agranulocytosis, a potentially life-threatening condition. Clozapine should be discontinued.

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A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?

Correct Answer is C

Explanation

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

Correct Answer is D

Explanation

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A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania.

Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.