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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The International Normalized Ratio (INR) is used to monitor the effectiveness of warfarin therapy, which is commonly prescribed to prevent blood clotting. The INR provides information about the client's prothrombin time (PT) in relation to a standardized value.
B. Fibrinogen level measures clotting potential but is not directly related to warfarin therapy monitoring.
C. Activated Partial Thromboplastin Time (aPTT) is used to monitor other anticoagulants like heparin, not warfarin.
D. Platelet count measures the number of platelets in the blood and is not specifically related to warfarin therapy monitoring.
Correct Answer is D
Explanation
Incorrect. Obesity is not a contraindication for acupuncture.
B. Incorrect. Hypothyroidism is not a contraindication for acupuncture.
C. Incorrect. Hypertension is not a contraindication for acupuncture.
D. Correct. Herpes zoster (shingles) involves a reactivation of the varicella-zoster virus and can cause skin lesions. Acupuncture involves the insertion of needles through the skin, which could potentially worsen the condition or lead to the spread of the virus.
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