Answer to Question 1
C
The most appropriate question for the nurse to ask would focus on whether the client feels exhausted. Assessment for a newly hospitalized client should include the current status of the client. Determining if the client is exhausted provides the nurse with information on whether the client's basic needs have been met. Clients with a diagnosis of bipolar disorder I may experience symptoms of depression such as little appetite or difficulties with getting adequate, restful sleep. A client with mania would be exhausted because of his or her constant activity, which would interfere with taking the time to eat or sleep.
Answer to Question 2
B
No consent form is required for this 24-hour urine and serum collection. Blood may be drawn at any time during the collection. In the morning the first voiding is discarded, and then the collection is timed and urine is collected for 24 hours. All urine is stored in a clean, 3-L plastic container that is refrigerated when not in use and then delivered to the lab. Teaching the patient the procedure for a 24-hour creatinine clearance as part of a prelithium workup (urinalysis, BUN, TSH, T3 and T4, FBS, and a complete physical examination with history and workup for family history of renal disease, diabetes mellitus, hypertension, diuretic use, and analgesic abuse) is required.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
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