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ttardalo ttardalo
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Posts: 337
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6 years ago
A patient is considering having electroconvulsive therapy (ECT) to treat his severe depression. Which statement(s) indicate(s) the patient understands the procedure? (Select all that apply.)

Question 2

Which signs and symptoms characterize a major depressive disorder? (Select all that apply.)

Question 3

The nurse is caring for an older adult patient with a history of anxiety. Which complaint could indicate that the patient may actually be experiencing emotional distress?
 
  a. Upset stomach
  b. Heightened tooth sensitivity
  c. Unpleasant taste in mouth
  d. Dizziness

Question 4

A patient has been taking lithium for 5 days. The nurse notes his gait is a little unsteady with a walker, and he complains of thirst and insomnia. Which finding is most important for the nurse to report?
 
  a. Manic behavior
  b. Unsteady gait
  c. Thirst
  d. Insomnia

Question 5

The nurse is educating a patient with a new prescription for lithium carbonate. Which information is most important for the nurse to include in the teaching plan?
 
  a. It can take up to two weeks for Lithium to reach a therapeutic level in the body.
  b. Lithium is often given in conjunction with loop diuretics.
  c. Carefully restrict sodium intake to less than 1 gram/day.
  d. Take medication before breakfast for maximum effectiveness.
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Replies
wrote...
6 years ago
The answer to question 1  

The answer to question 2  

The answer to question 3  A
The older adult population often expresses somatic complaints rather than openly verbalizing emotional distress. You may observe the anxious older adult complaining of an upset stomach, inability to sleep, fatigue, or increased need to urinate.

The answer to question 4  B
While all findings should be reported, uncoordinated movement is a sign of lithium toxicity and the priority finding. The patient is likely taking lithium to treat manic behavior. Thirst and in-somnia are expected side effects of lithium and not indicative of toxicity.

The answer to question 5  A
Lithium may take 7-14 days to reach therapeutic level in the body. Diuretics should be avoided while on Lithium therapy. Patients should not restrict sodium intake since low sodium levels could cause Lithium toxicity. Medication should be taken with meals to decrease gastric distress.
ttardalo Author
wrote...
6 years ago
Thank you for your assistance, again and again
wrote...
6 years ago
My pleasure
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