Author Question: A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which order ... (Read 76 times)

notis · **on:** Jul 19, 2018

A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which order should the nurse prioritize the client outcomes in the exhibit? Client Outcomes:

1. Maintains nutritional status
2. Interacts appropriately with peers
3. Remains free from injury
4. Sleeps 6 to 8 hours a night

1. 2, 1, 3, 4
2. 4, 1, 2, 3
3. 3, 1, 4, 2
4. 1, 4, 2, 3

Question 2

A client diagnosed with bipolar disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this client's priority nursing diagnosis?

1. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
2. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
3. Risk for suicide R/T powerlessness AEB insomnia and anorexia
4. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights

rekilledagain · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The nurse should order client outcomes based on priority in the following order: Remains free of injury, maintains nutritional status, sleeps 6 to 8 hours a night, and interacts appropriately with peers. The nurse should prioritize the client's safety and physical health as most important.

Answer to Question 2

2
Rationale: The nurse should identify that the priority nursing diagnosis for this client is altered nutrition: less than body requirements R/T hyperactivity AEB weight loss. Because of the client's rapid weight loss, the nurse should prioritize interventions to ensure proper nutrition and physical health.