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 D

Explanation

A. Incorrect. Acute glomerulonephritis can cause fluid retention and hypertension, rather than hypotension.

B. Incorrect. Weight gain might occur due to fluid retention rather than weight loss.

C. Incorrect. Decreased urine output, not polyuria, is a common finding in acute glomerulonephritis.

D. Correct. Hematuria (blood in the urine) is a classic sign of acute glomerulonephritis, reflecting inflammation and damage to the glomeruli in the kidneys.

A. Include any adverse effects of the medications the client might develop. B. Exclude nutritional supplements from the list of medications the client reports. C. Encourage the client to make his own list after he returns to his home. D. Compare new prescriptions with the list of medications the client reports.

Correct Answer is D

Explanation

A. Incorrect. While adverse effects are important to consider, the primary purpose of medication reconciliation is to ensure accurate and up-to-date medication information.

B. Incorrect. Nutritional supplements and over-the-counter medications should be included in the medication reconciliation process to provide a comprehensive overview of the client's medication regimen.

C. Incorrect. The nurse is responsible for accurately reconciling the client's medications during the admission process. Encouraging the client to create a list later may lead to inaccuracies.

D. Correct. Comparing new prescriptions with the client's reported medication list helps identify any discrepancies or potential interactions, ensuring safe and effective medication administration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?

Correct Answer is D

Explanation

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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?