The nurse continues to care for the client.
For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client
Provide the client with high-calorie fluids every hour.
Encourage the client to avoid napping during the day.
Minimize environmental stimuli for the client.
Weigh the client each day.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Rationale:
- Provide the client with high-calorie fluids every hour: The client has poor self-care, has not eaten for an extended period, and exhibits hyperactivity due to mania. Frequent high-calorie fluids help maintain hydration and meet increased metabolic demands. Regular intake supports nutrition and prevents further weight loss.
- Encourage the client to avoid napping during the day: Avoiding daytime napping can help regulate sleep-wake cycles and promote restorative sleep at night. Clients experiencing mania often have decreased need for sleep, so reinforcing nighttime sleep routines supports stabilization of circadian rhythms.
- Minimize environmental stimuli for the client: Clients experiencing a manic episode are easily overstimulated, which can worsen their agitation, anxiety, and psychosis. A calm, quiet environment with reduced distractions is essential for de-escalation and promoting rest.
- Weigh the client each day: Daily weight monitoring helps assess nutritional status and detect fluid imbalance, which is important given the client’s poor self-care, hyperactivity, and potential for dehydration or rapid weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. "I will hang a pastel-colored mobile 24 inches above my baby's crib.": Newborns can only see objects clearly 8–12 inches away and are more attracted to bold patterns and contrasting colors. A mobile 24 inches away would be too far for visual stimulation.
B. "I will place a ticking clock nearby to soothe my baby throughout the day.": Rhythmic sounds, such as a ticking clock, can mimic the intrauterine environment and help calm newborns. This is an appropriate soothing technique for a 1-week-old.
C. "I will avoid picking up my baby too often to keep from spoiling him.": Holding and responding promptly to a newborn’s needs promotes bonding, emotional security, and healthy development. At this age, infants cannot be spoiled.
D. "I can use a firm pillow to prop up the bottle when feeding my baby.": Propping bottles increases the risk of choking, aspiration, and otitis media. Infants should always be held during feedings for safety and bonding.
Correct Answer is A
Explanation
Rationale:
A. Weight loss: Furosemide is a loop diuretic that promotes excretion of excess fluid through urine. A reduction in body weight reflects fluid loss and indicates that the medication is effectively managing fluid volume excess.
B. Decreased inflammation: Furosemide does not have anti-inflammatory properties. While it may reduce edema associated with fluid overload, it does not directly affect inflammatory processes in tissues.
C. Decreased pain: Pain reduction is not a direct effect of furosemide. Any perceived relief might occur secondarily if edema-related pressure is relieved, but it is not a primary measure of medication effectiveness.
D. Increased blood pressure: Furosemide typically lowers blood pressure by reducing intravascular volume. An increase in blood pressure would suggest that fluid overload is not being adequately managed or that another condition is influencing blood pressure.
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