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The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?

Sleepiness

Relaxed appearance

Calm behavior

Hyperactivity

Answer and Explanation

The Correct Answer is D

A. Sleepiness is not typically associated with a low lithium level.

B. A relaxed appearance is not typically associated with a low lithium level.

C. Calm behavior is not typically associated with a low lithium level.

D. A lithium level of 0.3 mEq/L is considered below the therapeutic range, which typically falls between 0.6 and 1.2 mEq/L. Therefore, a nurse would expect to assess symptoms of under-medication, such as potential recurrence of manic symptoms, such hyperactivity.

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Correct Answer is D

Explanation

Explanation:

A. Discussing how food can increase the symptoms of depression is not the priority in this situation; the immediate concern is the interaction between phenelzine and wine.

B. Admitting the client to the psychiatric unit is not necessary based solely on the consumption of wine with phenelzine; assessing the client's condition is the priority.

C. Discussing the effects of wine on the action of antidepressants is important, but assessing the client's current status takes precedence.

D. Assessing the client's blood pressure is the priority action because phenelzine is an MAOI, and consuming wine while taking MAOIs can lead to a hypertensive crisis.

A. Eggs B. Onions C. Apples D. Aged cheeses

Correct Answer is D

Explanation

A. Eggs are not typically restricted while taking phenelzine (Nardil).

B. Onions are not typically restricted while taking phenelzine (Nardil).

C. Apples are not typically restricted while taking phenelzine (Nardil).

D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.

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The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Correct Answer is D

Explanation

The patient is taking phenelzine (Nardil). The nurse teaches her to avoid eating:

Correct Answer is D

Explanation

A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

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