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. Take the medication with dairy products to increase absorption: Calcium carbonate antacids should not be taken with dairy products as they can reduce the absorption of calcium due to the formation of insoluble calcium salts. It's recommended to take calcium carbonate antacids between meals or with a light snack, but not with dairy products.
B. Decrease bulk in the diet to counteract the adverse effect of diarrhea: Calcium carbonate antacids can sometimes cause constipation rather than diarrhea. Increasing dietary fiber and fluid intake may help prevent constipation associated with the use of these antacids. Therefore, advising to decrease bulk in the diet is not appropriate.
C. Draw a glass of water after taking the medication: Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution in the stomach and to prevent the risk of gastrointestinal irritation or obstruction. Water helps facilitate the dissolution and absorption of the medication, reducing the risk of adverse effects.
D. Reduce sodium intake: Calcium carbonate antacids may contain sodium, but reducing sodium intake is not a specific recommendation related to taking this medication. However, it's generally advisable to limit sodium intake for overall health, especially for individuals with conditions such as hypertension or heart failure.

A. Administer an analgesic PO: Administering an analgesic by mouth may not provide immediate relief for the pain at the insertion site of the IV catheter. Oral medications typically take time to be absorbed and reach therapeutic levels in the bloodstream, which may delay pain relief. Additionally, oral analgesics are not specifically targeted to the site of pain and may not adequately address localized discomfort associated with IV insertion.
B. Administer a local anesthetic: Administering a local anesthetic, such as lidocaine, is the most appropriate action to alleviate pain at the insertion site of the IV catheter. Local anesthetics block nerve impulses in the area where they are applied, temporarily numbing the site and providing rapid pain relief. The nurse can apply a topical local anesthetic cream or spray directly to the skin around the insertion site or infiltrate lidocaine into the subcutaneous tissue near the catheter insertion site to minimize discomfort for the client.
C. Request a prescription for placement of a central venous access device: Requesting a prescription for a central venous access device, such as a central venous catheter or peripherally inserted central catheter (PICC), is not indicated solely based on the client's report of pain at the insertion site of the IV catheter. Central venous access devices are typically reserved for clients requiring long-term intravenous therapy, frequent blood draws, or administration of vesicant or irritating medications. The decision to insert a central venous access device should be based on the client's specific clinical needs and the assessment of venous access options by the healthcare provider.
D. Remove the catheter and insert another of a different size: Removing the IV catheter and inserting another of a different size solely due to pain at the insertion site may not be necessary and could cause additional discomfort and trauma to the client. The nurse should assess the insertion site for signs of complications, such as infiltration, phlebitis, or infection, before considering catheter removal and replacement. If the IV catheter is appropriately positioned and functioning well, the nurse should focus on managing the client's pain at the current insertion site using appropriate interventions, such as administering a local anesthetic, rather than immediately removing the catheter.