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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B. A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C. A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.

D. A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.

A. "Please verify with the client which of the following medications they are taking." B. "Please perform a complete assessment of the client." C. "Please document the admission assessment in the chart." D. "Please use these client assessment findings to draw a conclusion so that a plan can be developed."

Correct Answer is A

Explanation

A. This is an appropriate delegation to an LPN. It involves data collection, which is within the scope of LPN practice. The RN retains responsibility for medication administration and reconciliation.
B. This is inappropriate delegation. A complete assessment requires critical thinking and clinical judgment, which are within the scope of RN practice.
C. While documentation is important, it's usually the responsibility of the RN to ensure accurate and complete charting, especially for initial assessments.
D. Drawing conclusions and developing a plan requires nursing judgment and is the responsibility of the RN.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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