A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Client sleeps 6 hr each night.

Client has a 0.9 kg (2 lb) weight loss from previous week.

Client has an increase in urine specific gravity

Client gives personal gifts to other clients.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

During the manic phase of bipolar disorder, sleep disturbances are common. Setting a goal for the client to achieve an appropriate amount of sleep can help stabilize their mood and reduce the intensity of manic symptoms.

Choice B rationale:

A weight loss goal might be more appropriate during the depressive phase, as manic episodes are often associated with increased energy and decreased appetite.

Choice C rationale:

Increased urine specific gravity is not a specific goal for managing the manic phase of bipolar disorder.

Choice D rationale:

Giving personal gifts to other clients might be a manifestation of the client's manic behavior and is not a goal to strive for.

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Correct Answer is C

Explanation

Choice A rationale:

Placing the client on a low-protein diet is not appropriate based solely on the provided information.

Choice B rationale:

Restricting dietary sodium might be considered for specific conditions but is not directly related to the client's confusion.

Choice C rationale:

A high magnesium level can contribute to confusion in older adults. Requesting a reduction in the magnesium hydroxide dosage can help address this issue.

Choice D rationale:

Discontinuing diphenhydramine might be considered if it is contributing to the client's confusion, but there is no specific information provided to support this action.

A. Abdominal cramps B. Slurred speech C. Tachycardia D. Diaphoresis

Correct Answer is B

Explanation

Choice A rationale:

Abdominal cramps are not typically associated with opioid intoxication. Choice B rationale:

Opioid intoxication can cause symptoms such as slowed or slurred speech, drowsiness, and altered mental status.

Choice C rationale:

Opioid intoxication often leads to bradycardia (slower heart rate), not tachycardia (faster heart rate).

Choice D rationale:

Diaphoresis (excessive sweating) is a symptom of opioid withdrawal, not intoxication.

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A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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