A nurse is caring for a client diagnosed with bipolar disorder in an acute manic state. The client is running around the unit asking people to dance with her. After ensuring safety, which of the following interventions should the nurse take?

Turn on a dance video so the client can burn off excess energy.

Take the client to a calm environment and offer snacks.

Offer the client a low-calorie snack in return for stopping the behavior.

Observe the client closely for the development of aggressive behavior.

Answer and Explanation

The Correct Answer is B

Choice A: Turn on a dance video so the client can burn off excess energy.
This intervention might help the client to channel their energy in a safe and controlled manner. However, it might also reinforce the manic behavior, which could be counterproductive in the long term.

Choice B: Take the client to a calm environment and offer snacks.
This intervention could help to distract the client from their manic behavior and provide them with a calming and grounding experience. Offering snacks could also help to stabilize their energy levels.

Choice C: Offer the client a low-calorie snack in return for stopping the behavior.
This intervention could be seen as a form of behavioral reinforcement. However, it might not be effective if the client is not motivated by food or if they perceive it as a form of manipulation.

Choice D: Observe the client closely for the development of aggressive behavior.
This intervention is crucial for ensuring the safety of the client and others in the unit. If the client's behavior escalates to aggression, the nurse would need to take immediate steps to de-escalate the situation and protect everyone involved.

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Correct Answer is C

Explanation

Choice A reason: Aspirin is not used to reverse the effects of opioids. It is an anti-inflammatory drug that can reduce pain and fever, but it does not have the capability to counteract opioid effects.

Choice B reason: Acetaminophen, also known as Tylenol, is a pain reliever and a fever reducer. It does not have the properties to reverse opioid overdoses and is not an antidote for opioids.

Choice C reason: Naloxone is the correct medication to reverse the effects of opioids. It is an opioid antagonist that can quickly restore normal breathing in a person if their breathing has slowed or stopped because of an opioid overdose. Naloxone binds to opioid receptors and can reverse and block the effects of other opioids.

Choice D reason: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain, fever, and inflammation. Like aspirin and acetaminophen, it does not reverse the effects of an opioid overdose.

In conclusion, naloxone is the medication that is used to reverse the effects of opioids in the case of an overdose. It is a critical drug in emergency situations involving opioids and can save lives by reversing life-threatening respiratory depression caused by opioid overdose. Healthcare providers should be prepared to administer naloxone and provide appropriate follow-up care after its use.

A. Ask the client if she has a plan to commit suicide. B. Assist the client to her room and allow her to rest before resuming activity. C. Recognize the attempt at manipulation and escort the client back to her activity. D. Notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone.

Correct Answer is A

Explanation

Choice A reason:
When a client expresses thoughts of wanting to end their life, it is crucial for the nurse to immediately assess the risk of suicide. Asking the client if they have a plan to commit suicide is a direct approach to gauge the immediacy and seriousness of the risk. This information is vital for determining the next steps in care, which may include close supervision, safety precautions, and urgent psychiatric evaluation.

Choice B reason:
While ensuring the client is comfortable is important, allowing the client to rest without further assessment or intervention may not be safe if the client is at immediate risk of self-harm. The priority is to assess and secure the client's safety.

Choice C reason:
It is inappropriate and potentially dangerous to dismiss the client's statement as manipulation. All expressions of suicidal ideation should be taken seriously, and the nurse should provide a supportive response that addresses the client's emotional state and safety concerns.

Choice D reason:
Notifying the client's family can be part of a broader safety plan, but it should not replace immediate assessment and intervention by the healthcare team. Family members may provide support, but they are not a substitute for professional care and suicide risk assessment.

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A nurse is caring for a client diagnosed with bipolar disorder in an acute manic state. The client is running around the unit asking people to dance with her. After ensuring safety, which of the following interventions should the nurse take?

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A nurse is caring for a client after an overdose of OxyContin. The nurse anticipates an order for which medication to reverse the effects of the opioids?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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