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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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.

A. Require staff nurses to demonstrate competency by passing a medication administration examination B. Provide an in-service on medication administration to at the nurses C. Develop a quality improvement program for nurses involved in medication administration errors D. Renew the events lead up to each medication administration error

Correct Answer is D

Explanation

A. Requiring staff nurses to demonstrate competency by passing a medication administration examination: While competency assessments are essential, initiating this as the first strategy may not address the root causes of medication administration errors. It's important to first understand the specific factors contributing to errors by reviewing the events leading up to each error before implementing competency assessments. This allows for a targeted approach to addressing gaps in knowledge or skills related to medication administration.
B. Providing an in-service on medication administration to all nurses: While education and training are valuable components of error reduction strategies, providing an in-service as the first step may not address the underlying system issues contributing to medication errors. Education should complement other interventions aimed at improving the medication administration process, such as system redesign or standardization of practices.
C. Developing a quality improvement program for nurses involved in medication administration errors: Implementing a quality improvement program for nurses involved in errors is important for learning from mistakes and preventing recurrence. However, developing such a program should be informed by a thorough analysis of the events leading to errors. Without understanding the root causes, it may be challenging to develop effective improvement initiatives.
D. Reviewing the events leading up to each medication administration error: This strategy is the most appropriate initial step. Conducting a detailed review of each error allows the committee to identify patterns, common factors, and system issues contributing to medication errors. By understanding the specific circumstances surrounding each error, the committee can develop targeted interventions to address root causes and prevent future errors. This approach aligns with the principles of continuous quality improvement, focusing on data-driven analysis and proactive problem-solving.

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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 B

Explanation

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Correct Answer is D

Explanation

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