A client with bipolar disorder is refusing to take mood stabilizers due to weight gain. To increase the patient’s adherence to a medication regimen, what measures could the nurse teach the client? (SELECT ALL THAT APPLY)
Have cut vegetables prepared for a snack instead of chips or cookies.
Extended-release forms of medications have fewer side effects when dissolved in water.
Weigh yourself once in the morning and once in the evening using the same scale.
Drink flavored water instead of soft drinks.
Walk 30 minutes per day, 5 days per week.
Correct Answer : A,D,E
Choice A Reason:
Have cut vegetables prepared for a snack instead of chips or cookies. This choice is correct because it encourages healthier eating habits, which can help manage weight gain associated with mood stabilizers. Vegetables are low in calories and high in nutrients, making them a better alternative to high-calorie snacks like chips and cookies. This can help the client maintain a healthy weight while adhering to their medication regimen.
Choice B Reason:
Extended-release forms of medications have fewer side effects when dissolved in water. This choice is incorrect. Extended-release medications are designed to be released slowly over time and should not be dissolved in water. Dissolving them can alter their release mechanism, leading to potential side effects and reduced efficacy.
Choice C Reason:
Weigh yourself once in the morning and once in the evening using the same scale. This choice is incorrect. Weighing oneself multiple times a day can lead to unnecessary anxiety and obsession over weight fluctuations, which are normal throughout the day. It is generally recommended to weigh oneself once a week at the same time of day for a more accurate measure of weight trends.
Choice D Reason:
Drink flavored water instead of soft drinks. This choice is correct because it promotes healthier beverage choices. Soft drinks are high in sugar and calories, which can contribute to weight gain. Flavored water, on the other hand, can be a refreshing and low-calorie alternative, helping the client manage their weight while staying hydrated.
Choice E Reason:
Walk 30 minutes per day, 5 days per week. This choice is correct because regular physical activity is essential for maintaining a healthy weight and overall well-being. Walking is a low-impact exercise that can help burn calories, improve mood, and enhance adherence to a medication regimen by reducing the side effects of weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6.7"]
Explanation
Step 1: Convert the total daily dose from grams to milligrams. 1.2 grams × 1000 = 1200 milligrams Result: 1200 milligrams
Step 2: Divide the total daily dose by the number of doses per day to find the dose per administration. 1200 milligrams ÷ 3 = 400 milligrams per dose Result: 400 milligrams per dose
Step 3: Determine how many milliliters are needed for each dose. The medication is supplied as 300 mg/5 mL. 400 milligrams ÷ 300 milligrams = (400 ÷ 300) = 1.3333 Result: 1.3333
Step 4: Multiply the result by the volume (5 mL) to find the volume needed per dose. 1.3333 × 5 mL = 6.6665 mL Result: 6.6665 mL
Step 5: Round the result to the nearest tenth. 6.6665 mL rounded to the nearest tenth = 6.7 mL Result: 6.7 mL
The nurse will administer 6.7 mL per dose.
Correct Answer is B
Explanation
Choice A Reason: Prevents Extrapyramidal Side Effects
Extrapyramidal side effects (EPS) are drug-induced movement disorders that include symptoms such as tremors, rigidity, bradykinesia, and tardive dyskinesia. These side effects are commonly associated with first-generation antipsychotics. While second-generation antipsychotics like olanzapine have a lower risk of causing EPS, their primary use in this context is not to prevent these side effects. Therefore, this choice is not the most appropriate response to the family’s question.
Choice B Reason: Reduces Agitation Until the Lithium Takes Effect
Olanzapine is a second-generation antipsychotic that is effective in managing acute agitation and psychotic symptoms in patients with bipolar disorder. Lithium, while effective for long-term mood stabilization, takes several days to weeks to reach therapeutic levels and exert its full effect. During this period, olanzapine can help reduce the client’s agitation and stabilize their mood. This makes it the most appropriate response to the family’s question.
Choice C Reason: Cures Manic Symptoms
While olanzapine can help manage manic symptoms, it does not “cure” them. Bipolar disorder is a chronic condition that requires ongoing management with medications and therapy. The term “cure” is misleading as it implies a permanent resolution of symptoms, which is not the case with bipolar disorder. Therefore, this choice is not accurate.
Choice D Reason: Ensures High-Quality Sleep
Olanzapine can have sedative effects and may help improve sleep in some patients. However, its primary use in this scenario is to manage acute agitation and psychotic symptoms rather than to ensure high-quality sleep. While improved sleep may be a beneficial side effect, it is not the main reason for its prescription in this context.
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