A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

A private room dose to the nursing station

A semi-private room with a roommate who has a similar diagnosis

A seclusion room until the client's activity level becomes more subdued

A private room in a quiet location on the unit

Answer and Explanation

The Correct Answer is D

Answer: D. A private room in a quiet location on the unit

Rationale:

A) A private room close to the nursing station: While proximity to the nursing station can facilitate monitoring, a room close to a busy area may lead to increased stimuli and noise, which can exacerbate the client’s manic symptoms.

B) A semi-private room with a roommate who has a similar diagnosis: Sharing a room with another client experiencing mania could lead to increased stimulation and competition for attention, potentially worsening the manic phase for both clients.

C) A seclusion room until the client's activity level becomes more subdued: Seclusion is typically used as a last resort for managing severe agitation or aggression. It may not be necessary or appropriate for all clients in a manic phase, especially if the client can be safely managed in a less restrictive environment.

D) A private room in a quiet location on the unit: This option is ideal as it provides the client with a calm environment, minimizing external stimuli that could trigger or escalate manic behaviors. A quiet space can help promote a sense of safety and allow the client to regain control over their emotions and behavior.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "My child must be free from this before returning to school": While it's important for the child to be treated and free from head lice before returning to school, this statement alone doesn't address the comprehensive measures needed to eradicate pediculosis capitis. It focuses only on the child's return to school without considering other aspects of treatment and prevention.
B. "Toys that can't be dry cleaned or washed must be thrown out": Throwing out toys that can't be dry cleaned or washed is an extreme measure and unnecessary for managing pediculosis capitis. While cleaning items that come into contact with the child's head is important, it's not necessary to dispose of toys unless they cannot be effectively cleaned.
C. "All recently used clothing, bedding, and towels must be washed in hot water": This statement indicates a thorough understanding of the teaching. Washing recently used clothing, bedding, and towels in hot water is an essential step in eliminating head lice and preventing reinfestation. Hot water helps kill lice and their eggs, reducing the risk of transmission.
D. "I will treat all the family members to be on the safe side": Treating all family members is a prudent measure to prevent the spread of head lice within the household. However, this statement alone doesn't address other important aspects of treatment and prevention, such as washing bedding and clothing. While treating family members is important, it's only one part of a comprehensive approach to managing pediculosis capitis.

A. pH 7.55, HCO 30 mEq/L. PaCO2 31 mm Hg B. pH 7.30, HCO 26 mEq/L. PaCO, 50 mm Hg C. pH 7.50, HCD, 20 mEq/L PaCO 32 mm Hg D. pH 7.25 HCO, 19 mEq, PaCO, 30 mm Hg

Correct Answer is D

Explanation

A. pH 7.55, HCO3 30 mEq/L, PaCO2 31 mm Hg: These values indicate respiratory alkalosis with metabolic alkalosis. The pH is elevated, indicating alkalosis. The HCO3 level is elevated, indicating metabolic alkalosis, while the PaCO2 is low, indicating respiratory alkalosis. This pattern is not typically seen in chronic kidney disease.
B. pH 7.30, HCO3 26 mEq/L, PaCO2 50 mm Hg: These values indicate metabolic acidosis with respiratory acidosis. The pH is low, indicating acidosis. The HCO3 level is slightly low, indicating metabolic acidosis, while the PaCO2 is elevated, indicating respiratory acidosis. This pattern is not typically seen in chronic kidney disease.
C. pH 7.50, HCO3 20 mEq/L, PaCO2 32 mm Hg: These values indicate metabolic alkalosis with respiratory alkalosis. The pH is elevated, indicating alkalosis. The HCO3 level is elevated, indicating metabolic alkalosis, while the PaCO2 is slightly low, indicating respiratory alkalosis. This pattern is not typically seen in chronic kidney disease.
D. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg: These values indicate metabolic acidosis. The pH is low, indicating acidosis. The HCO3 level is decreased, indicating metabolic acidosis, while the PaCO2 is within the normal range. In chronic kidney disease, impaired kidney function leads to the retention of metabolic acids, resulting in metabolic acidosis. This pattern is consistent with chronic kidney disease.

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A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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