A nurse is caring for a client who is experiencing a manic episode. The nurse should identify that which of the following factors can prolong the client's mania?
Low lighting in the day room
Frequent rest periods throughout the day
Structured activities with the assistive personnel
A roommate who is also experiencing mania
The Correct Answer is D
A. Low lighting in the day room
Helps reduce stimulation and promote calmness.
B. Frequent rest periods throughout the day
Important for energy conservation and reducing hyperactivity.
C. Structured activities with the assistive personnel
Helps channel energy in a safe way and maintain boundaries.
D. A roommate who is also experiencing mania
Stimulation from another manic client can worsen or prolong manic behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypoglycemia
Lithium does not typically affect blood glucose levels.
B. Constipation
Diarrhea, not constipation, is a more common symptom of lithium toxicity.
C. Muscle irritability
Muscle weakness, tremors, and neuromuscular irritability are signs of lithium toxicity (level >1.5 mEq/L).
D. Increased BP
Lithium toxicity does not cause hypertension; it may actually cause hypotension in severe cases.
Correct Answer is D,A,B,C
Explanation
Correct answer: D, A, B, C
A. Review the client's pertinent medical history:
Part of Background – provides context about the client’s past conditions and relevant history.
B. State the client's most recent vital signs:
Part of Assessment – offers current clinical data needed for informed decision-making.
C. Discuss suggestions for continuing the client's care:
Part of Recommendation – includes advice or action items to guide the next steps in the care plan.
D. Provide a brief description of the client's diagnosis:
Part of Situation – the starting point, stating why the report is being given.
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