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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Fine hand tremors and pill rolling: These symptoms are more indicative of parkinsonism, which is another extrapyramidal side effect of antipsychotic medications but not specifically tardive dyskinesia.
B. Facial grimacing and eye blinking: Facial grimacing and eye blinking are classic signs of tardive dyskinesia. These involuntary movements of the face are often seen in patients who have been on antipsychotic medications for an extended period.
C. Urinary retention and constipation: Urinary retention and constipation are not typically associated with tardive dyskinesia. These symptoms may be related to other medication side effects or unrelated conditions.
D. Involuntary pelvic rocking and hip thrusting movements: These movements are characteristic of tardive dyskinesia. Involuntary pelvic rocking and hip thrusting can occur as part of the abnormal involuntary movements seen in tardive dyskinesia.
E. Tongue thrusting and lip smacking: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, particularly involving the orofacial region. These movements can be distressing for patients and may interfere with speech and eating.
Correct Answer is B
Explanation
A. The client who has a chest tube to water seal: A chest tube to water seal is primarily used to drain air or fluid from the pleural space. While the client with a chest tube may experience electrolyte imbalances due to fluid loss, hypokalemia is not directly associated with this type of drainage system.
B. The client who has a nasogastric (NG) tube to suction: Clients with nasogastric tubes to suction may experience hypokalemia due to the loss of gastric contents, which contain potassium. Suctioning removes gastric secretions, including potassium, from the body, leading to the risk of electrolyte imbalances such as hypokalemia.
C. The client who has an indwelling urinary catheter to gravity drainage: Gravity drainage of urine via an indwelling urinary catheter does not typically lead to significant potassium loss. While urinary catheterization may carry a risk of electrolyte imbalances over time, it is not as directly associated with hypokalemia as suctioning gastric contents.
D. The client who has a tracheostomy tube attached to humidified oxygen: Humidified oxygen delivery through a tracheostomy tube does not directly affect potassium levels. While clients receiving oxygen therapy may have other respiratory-related issues, hypokalemia is not typically a concern related to this type of therapy.
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