An adult client with a diagnosis of bipolar disorder arrives in an elated state on admission to the psychiatric unit. What is the best room assignment the nurse can make for this client?
A room that contains very little furniture.
A room that has at least two other clients assigned to it.
A quiet room away from the nurse's station.
A bright-colored room located near the recreation room.
The Correct Answer is C
A. A minimally furnished room may be beneficial for safety, but it is not the primary consideration for room assignment.
B. A room with multiple roommates may increase stimulation, which can worsen manic symptoms.
C. A quiet room away from the nurse's station helps reduce environmental stimuli, which can help manage the client's elated state.
D. A bright-colored room near the recreation area may increase sensory stimulation, potentially worsening manic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Salad greens with tomatoes do not provide a significant source of protein.
Choice B: One slice of cheese pizza may contain saturated fats from cheese and processed meats, so it may not be the best choice if the goal is to reduce saturated fat intake.
Choice C: A roasted turkey sandwich can be a good alternative source of protein without the same level of saturated fats found in hamburgers. Turkey is typically leaner than beef, and if prepared without excessive fats or sauces, it can be a healthier choice.
Choice D: Baked potato with low-fat butter is primarily a source of carbohydrates and fats but does not provide a significant source of protein.
Correct Answer is D
Explanation
Choice A: Strict intake and output monitoring is important in the care of clients with DKA, but it is not the most critical intervention among the choices provided.
Choice B: Maintaining a large bore intravenous (IV) is important for providing the necessary fluids and medications in DKA treatment, but it is not the highest priority.
Choice C: Keeping the client NPO except for ice may be part of the initial management of DKA to address fluid and electrolyte imbalances, but it is not the most important intervention in the client's overall plan of care.
Choice D: Monitoring laboratory values is the most important intervention for a client with diabetic ketoacidosis (DKA). Regular assessment of blood glucose levels, electrolytes (e.g., potassium, sodium), and arterial blood gases (ABGs) is crucial for guiding treatment and ensuring that DKA is resolving. Adjustments to insulin and fluids are based on these laboratory values to prevent complications such as cerebral edema or cardiac arrhythmias.
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