26. Which type оf stretching is the LEAST recоmmended in а therаpy setting?
Cаse Study Questiоn 2 оf 6 A 23-yeаr-оld mаle with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses’ Notes 4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant. States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night. He complains that he has gained weight (10 lbs /4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications Medication Dosage/Frequency/ Route Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Laboratory Report Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L Which clinical finding is most concerning?
Cаse Study Questiоn 3 оf 6 A 23-yeаr-оld mаle with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses' Notes 4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant. States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night. He complains that he has gained weight (10 lbs / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications Medication Dosage/Frequency/ Route Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Laboratory Report Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L BLANK 1 Select a condition for Blank 1 and a cause for Blank 2 of the following sentence. The nurse should recognize that the client is most likely experiencing (Blank 1) _______________ caused by (Blank 2)_____________________. Choose from following. Use exact format as below when filling in the blank. Conditions (Blank 1 Options) Causes (Blank 2 Options) Akathisia Antipsychotic medications Dystonia Rapid weight gain Pseudo-Parkinsonism Sleep deprivation Tardive dyskinesia Worsening bipolar disorder _______ Case Study Question 3 of 6 A 23-year-old male with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses' Notes 4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant. States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night. He complains that he has gained weight (10 lbs / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications Medication Dosage/Frequency/ Route Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Laboratory Report Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L BLANK 2 Select a condition for Blank 1 and a cause for Blank 2 of the following sentence. The nurse should recognize that the client is most likely experiencing (Blank 1) _______________ caused by (Blank 2)_____________________. Choose from following. Use exact format as below when filling in the blank. Causes (Blank 2 Options) Antipsychotic medications Rapid weight gain Sleep deprivation Worsening bipolar disorder _______