answers2024\2025 A+ Grade
Which medication class is used most frequently for bipolar disorder?
- correct answer Anticonvulsants
Which condition is treated by mood-stabilizing medications?
- correct answer Bipolar disorder
Which medication is used for chronic mood stabilization?
- correct answer Lithium
Which medication can make a client with a mood disorder like bipolar disorder worse?
- correct answer Antidepressants
Which condition is usually treated with lithium?
- correct answer Bipolar disorder
A client is started on the anticonvulsant valproic acid for a recent manic episode. Which is an important
safety consideration?
- correct answer Monitor the valproic acid level to ensure the correct dose.
Which side effects are common with all mood-stabilizing medications? Select all that apply.
- correct answer Weight gain
Nausea
Which medications can be given to clients to manage bipolar disorder? Select all that apply.
- correct answer Anticonvulsants
Mood-stabilizers
Antipsychotics
,A client is started on valproic acid for bipolar mania. After one week, lab tests are drawn for valproic
acid level. The results show a level of 10 mcg/mL (the therapeutic range is 50-125 mcg/mL). Which are
the most likely causes? Select all that apply.
- correct answer The dosage needs to be increased.
The client may be taking medication that interacts with this drug.
The client may not be taking their medication as directed.
The nurse is caring for a client with bipolar disorder who came to the clinic for serum laboratory levels
to be drawn. The results of the valproic acid level is 165 mcg/mL (therapeutic range is 50-125 mcg/mL).
What symptoms should the nurse expect? Select all that apply.
- correct answer Tremors
Sedation
Which sign or symptom suggests that a client is experiencing liver toxicity from their medications?
- correct answer Yellow sclera
A client started an antipsychotic about 2 months ago for bipolar disorder. The client reports some
uncontrolled facial and jaw movement (tardive dyskinesia) that occurs intermittently. What is the likely
cause of the symptoms?
- correct answer Olanzapine use
The nurse is providing education to a client prescribed valproic acid. The client reports drinking a glass of
wine after taking their medication. What should the nurse be concerned about? Select all that apply.
- correct answer Liver toxicity
Sedation
Which is an accurate statement about tardive dyskinesia?
- correct answer It is sometimes permanent and may continue after the medication is stopped.
The nurse is caring for a client who comes to the emergency department. The client is disheveled,
speaks rapidly, and quickly jumps from one topic to another. The client appears agitated and out of
, control. The healthcare provider suspects bipolar disorder. Which medication is likely to be used during
this acute phase?
- correct answer Valproic acid
The nurse is caring for a client with a history of bipolar disorder. The client comes to the clinic before
having lunch and reports a desire to order a beer with lunch. Which statement is accurate?
- correct answer The beer will interact with the medication and should not be consumed.
Lithium is indicated for which condition?
- correct answer Bipolar disorder
Which safety consideration is most important to prevent lithium toxicity?
- correct answer Periodically draw lithium lab levels to ensure therapeutic use.
When a client's lithium level is in the toxic range, which symptoms are most common? Select all that
apply.
- correct answer Diarrhea
Vomiting
Nausea
Lithium is indicated for the treatment of which disorders? Select all that apply.
- correct answer Augmentation (second) medication for major depressive disorder
Bipolar disorder
Which conditions can lead to increased lithium levels? Select all that apply.
- correct answer Sodium imbalance
Renal disease
Severe diarrhea
What is the most likely cause of sudden death in a client taking lithium with other medications such as
ciprofloxacin?
- correct answer Prolonged QT interval