A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
A private room across from the exercise room.
A semi-private room across from the snack area.
A semi-private room across from the day room.
A private room in a quiet location on the unit.
The Correct Answer is D
A. While exercise can be beneficial, a client in a manic phase may find it overstimulating, leading to increased agitation.
B. This option is not ideal as the client may be tempted to overeat or engage in impulsive behaviors related to food.
C. A day room is typically a high-traffic area with potential for noise and stimulation, which can exacerbate manic symptoms.
D. This is the best option for a client in the manic phase. A quiet environment can help reduce overstimulation, allowing for better management of symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Eating 60% of breakfast is generally not a significant concern regarding the administration of antihypertensive medication. However, if the client had a significantly reduced intake or other issues, it might warrant attention, but 60% of a meal typically does not.
B. This finding is significant and indicates that further assessment is necessary before administering antihypertensive medication. Dizziness, especially when related to ambulation, could be a sign of hypotension or an adverse effect of antihypertensive medication.
C. Trouble sleeping can be related to various factors, including stress, side effects of medication, or underlying health conditions. While it is important to consider the client’s overall well-being, this finding does not immediately indicate a need for further assessment before administering antihypertensive medication.
D. Urine output of 400 mL over 8 hours indicates a urine output of 50 mL per hour, which is within the normal range for adults. This finding is unlikely to require further assessment specifically in relation to the administration of antihypertensive medication.
Correct Answer is B
Explanation
A. A positive-pressure airflow room is designed to keep potentially contaminated air from entering the room, making it suitable for immunocompromised patients who need protection from airborne pathogens. However, for a client with symptoms suggestive of tuberculosis (TB), such as a productive cough and a positive Mantoux test, a positive-pressure room is not appropriate.
B. A negative-pressure airflow room is specifically designed to contain airborne pathogens within the room and prevent their spread to other areas. This is the appropriate type of room for a client with symptoms indicative of TB, as it helps to ensure that any infectious particles are not dispersed into the general environment.
C. A semi-private, positive-pressure airflow room is not suitable for a patient with a suspected infectious disease like TB. The positive pressure could potentially allow airborne pathogens to escape from the room, which poses a risk to others. This type of room is generally used for patients who need protection from external pathogens rather than those who may be spreading infection.
D. While a negative-pressure room is appropriate for controlling airborne pathogens, a semi-private room may not be suitable for a patient with a suspected infectious disease like TB. TB patients should ideally be placed in a private room to avoid potential exposure to other patients, as semi-private rooms could still allow for transmission of airborne diseases between patients.
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