A nurse is selecting foods for a client who is in the manic phase of bipolar disorder.
Which of the following foods should the nurse offer the client?
Creamed corn.
Mashed potatoes.
Spaghetti with meat sauce.
Milkshake.
The Correct Answer is D
The nurse should offer the client a milkshake because it is a high-calorie, high- protein, and easy-to-consume food that can meet the nutritional needs of a client who is in the manic phase of bipolar disorder. Clients who are manic often have increased activity, decreased appetite, and poor attention span, which can lead to weight loss and malnutrition.
Choice A is wrong because Creamed corn is wrong because it is a low-protein, high-carbohydrate food that can increase blood glucose levels and cause mood swings.
Choice B is wrong because Mashed potatoes is wrong because it is a low-protein, high-starch food that can also affect blood glucose levels and mood stability.
Choice C is wrong because Spaghetti with meat sauce is wrong because it is a complex food that requires utensils and attention to eat, which can be difficult for a client who is manic and distractible.
Normal ranges for potassium are 3.5 to 5.0 mEq/L.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It occurs because nicotine stimulates the release of dopamine, a neurotransmitter that regulates mood and pleasure. When nicotine intake is stopped, dopamine levels drop and cause anxiety and irritability.
Choice A is wrong because tachycardia, or rapid heart rate, is not a symptom of nicotine withdrawal. In fact, smoking can increase blood pressure and heart rate, so quitting smoking may lower them.
Choice C is wrong because weight loss is not a symptom of nicotine withdrawal. On the contrary, weight gain is more likely to occur after quitting smoking, because nicotine suppresses appetite and increases metabolism.
Choice D is wrong because vomiting is not a symptom of nicotine withdrawal. Vomiting may be a side effect of some nicotine replacement therapies, such as patches or gum, but it is not caused by the lack of nicotine itself.
Correct Answer is A
Explanation
Transferring the client from the bed to a chair. This is a task that can be delegated to an assistive personnel because it does not require nursing judgment or assessment. The nurse should provide clear instructions and supervise the assistive personnel during the transfer.
Choice B is wrong because checking the client’s surgical dressing for bleeding is a nursing assessment that requires clinical judgment and cannot be delegated.
The nurse should monitor the dressing for signs of infection, drainage, or dehiscence.
Choice C is wrong because determining whether the client has incisional pain is a nursing assessment that requires communication and evaluation skills and cannot be delegated.
The nurse should assess the client’s pain level, location, quality, and duration and administer pain medication as prescribed.
Choice D is wrong because showing the client how to use an incentive spirometer is a nursing intervention that requires teaching and evaluation skills and cannot be delegated.
The nurse should instruct the client on how to use the device to promote lung expansion and prevent atelectasis.
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