A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?

Place the client in seclusion when he exhibits signs of anxiety.

Encourage the client to spend time in the dayroom.

Encourage the client to take frequent rest periods.

Withdraw the client's TV privileges if he does not attend group therapy.

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Placing the client in seclusion is not an appropriate intervention for managing mania.
B.   Incorrect. Encouraging the client to spend time in the dayroom may exacerbate symptoms of mania by providing more stimulation.
C.   Correct. Encouraging the client to take frequent rest periods helps prevent overactivity and exhaustion, common in manic episodes.
D.   Incorrect. Withdrawing privileges are not directly related to managing manic symptoms and may not be therapeutic.

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Correct Answer is C

Explanation

A. Hypertension is not typically associated with amniocentesis unless there are underlying conditions.
B. Epigastric pain may be a sign of other issues such as preeclampsia, but it is not a common complication following amniocentesis.
C. Correct. Amniocentesis can sometimes trigger contractions, especially if performed earlier in pregnancy. Monitoring for contractions is important to assess for preterm labor.
D. Vomiting is not a common complication of amniocentesis.

A. Insert a pillow under the client's knees. B. Position the client in reverse Trendelenburg. C. Assist the client into the lithotomy position. D. Place a wedge under one of the client's hips.

Correct Answer is D

Explanation

A. Placing a pillow under the client's knees would not specifically address preventing a compromise in placental blood flow.
B. Reverse Trendelenburg involves tilting the bed so that the head is elevated and the feet are lower. While this position may help with respiratory difficulties (by allowing the diaphragm to expand), it does not address the concern of aortocaval compression, which is critical during pregnancy.
C. The lithotomy position is used for vaginal deliveries and involves placing the client's feet in stirrups, which is not appropriate for a cesarean birth.
D. The wedge position helps maintain blood flow to the placenta by relieving aortocaval compression, thereby improving venous return and placental perfusion. This is particularly important in pregnant clients, where the uterus can exert significant pressure on these blood vessels in the supine position.

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A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?

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A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?