NURS 404- BPD Mx, Suicide, Review
Questions with complete solutions
Lithium - correct answer ✔✔ mood stabilizer, psychotropic agent
What is the MOA of lithium? - correct answer ✔✔ unknown
Adjunct Uses of lithium - correct answer ✔✔ unipolar depression, Grave's disease, migraines,
cluster HA, neutropenia, SIADH
Outcomes of lithium - correct answer ✔✔ Acute mania and unipolar depression: Resolves
hyperactivity, pressured speech, poor judgment, insomnia
Most common side effects of lithium - correct answer ✔✔ fatigue, HA, impaired memory. ECG
changes, Abdominal pain, anorexia, bloating, diarrhea, nausea, Hypothyroidism, Polyuria
Nurse monitoring of lithium - correct answer ✔✔ keep intake stable
Why is maintaining scheduling important with lithium? - correct answer ✔✔ to avoid alteration
in renal elimination of lithium
Nursing consideration with lithium - correct answer ✔✔ monitor I&O, assess mental status,
thyroid, RFT, and LFT, serum monitoring (2/week)
How much water should patients drink when taking lithium? - correct answer ✔✔ 2000-3000mL
per day
, S/Sx of lithium toxicity - correct answer ✔✔ vomiting, diarrhea, slurred speech, confusion,
decreased coordination, muscle weakness, twitching
Therapeutic levels of lithium for acute mania? - correct answer ✔✔ 0.5 - 1.5mEq/L
Therapeutic levels of lithium for long term control? - correct answer ✔✔ 0.6 - 1.2mEq/L
What electrolyte does lithium mimic? - correct answer ✔✔ Na+
What electrolyte imbalance can occur while taking lithium? - correct answer ✔✔ hyponatremia
Avoid reconciling a missed dose unless - correct answer ✔✔ the next dose is within 2 hours
Discontinue lithium if the patient has sxs of - correct answer ✔✔ faints, irregular pulse, SOB
What is the primary reason for lithium non compliance? - correct answer ✔✔ Side effects, rate
of noncompliance is 41%
Nursing interventions for increasing lithium compliance - correct answer ✔✔ family
involvement
psychoeducation
electronic adherence monitoring device
follow up visits
Valproate - correct answer ✔✔ Depakote, Depakene, Depacon
Valproate class - correct answer ✔✔ anticonvulsant
Questions with complete solutions
Lithium - correct answer ✔✔ mood stabilizer, psychotropic agent
What is the MOA of lithium? - correct answer ✔✔ unknown
Adjunct Uses of lithium - correct answer ✔✔ unipolar depression, Grave's disease, migraines,
cluster HA, neutropenia, SIADH
Outcomes of lithium - correct answer ✔✔ Acute mania and unipolar depression: Resolves
hyperactivity, pressured speech, poor judgment, insomnia
Most common side effects of lithium - correct answer ✔✔ fatigue, HA, impaired memory. ECG
changes, Abdominal pain, anorexia, bloating, diarrhea, nausea, Hypothyroidism, Polyuria
Nurse monitoring of lithium - correct answer ✔✔ keep intake stable
Why is maintaining scheduling important with lithium? - correct answer ✔✔ to avoid alteration
in renal elimination of lithium
Nursing consideration with lithium - correct answer ✔✔ monitor I&O, assess mental status,
thyroid, RFT, and LFT, serum monitoring (2/week)
How much water should patients drink when taking lithium? - correct answer ✔✔ 2000-3000mL
per day
, S/Sx of lithium toxicity - correct answer ✔✔ vomiting, diarrhea, slurred speech, confusion,
decreased coordination, muscle weakness, twitching
Therapeutic levels of lithium for acute mania? - correct answer ✔✔ 0.5 - 1.5mEq/L
Therapeutic levels of lithium for long term control? - correct answer ✔✔ 0.6 - 1.2mEq/L
What electrolyte does lithium mimic? - correct answer ✔✔ Na+
What electrolyte imbalance can occur while taking lithium? - correct answer ✔✔ hyponatremia
Avoid reconciling a missed dose unless - correct answer ✔✔ the next dose is within 2 hours
Discontinue lithium if the patient has sxs of - correct answer ✔✔ faints, irregular pulse, SOB
What is the primary reason for lithium non compliance? - correct answer ✔✔ Side effects, rate
of noncompliance is 41%
Nursing interventions for increasing lithium compliance - correct answer ✔✔ family
involvement
psychoeducation
electronic adherence monitoring device
follow up visits
Valproate - correct answer ✔✔ Depakote, Depakene, Depacon
Valproate class - correct answer ✔✔ anticonvulsant
