This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A bipolar client with acute mania has been verbally abusive to staff since admission 3 hours ago. ... (Read 195 times)

sammy

  • Hero Member
  • *****
  • Posts: 818
on: Jul 19, 2018
A bipolar client with acute mania has been verbally abusive to staff since admission 3 hours ago.
 
  He
  tells the admitting nurse she'd probably make a better call girl than a nurse and refuses to answer
  assessment questions, saying If you can't work with patients they'll eventually fire you.. The nurse
  should
  a. explain to the client that she holds a degree in nursing and is entirely competent.
  b. tell the client his behavior is unacceptable and requires an apology.
  c. state she will return in a few minutes to continue the interview.
  d. tell the client she will report his behavior to the physician.

Question 2

A bipolar client being maintained on lithium calls the nurse at the clinic to say he has had severe
  diarrhea for 4 days. He mentions that he feels very weak and kind of staggers when he walks.
 
  He
  states his usual hand tremor has gotten worse. The nurse should advise
  a. having someone bring the client to the clinic immediately.
  b. restricting food and fluids for 24 hours and staying in bed.
  c. drinking a large glass of water with 1 teaspoon of salt added.
  d. taking over-the-counter antidiarrheal medication hourly until the diarrhea
  subsides.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

zhanghao

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 19, 2018
Answer to Question 1

C
Angry verbal attacks against staff by clients with mania are commonplace. Staff must realize verbal
attacks are part of illness behavior rather than personal in nature. Arguing, explaining, calling for
apologies are counterproductive behaviors. Remaining neutral and allowing a cooling-down period
will serve the nurse well. Because the client's mood is labile, the client may be willing to continue
the assessment when the nurse returns.

Answer to Question 2

A
The symptoms described suggest lithium toxicity. The client should have a lithium level drawn and
may require further treatment. Because neurological symptoms are present, the client should not
drive and should be accompanied by another person. Options B, C, and D: These will not ameliorate
the client's symptoms.


sammy

  • Member
  • Posts: 818
Reply 2 on: Jul 19, 2018
Wow, this really help

shewald78

  • Member
  • Posts: 340
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

After a vasectomy, it takes about 12 ejaculations to clear out sperm that were already beyond the blocked area.

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Guinea pig pup at eight hours old Guinea pig pup at eight hours old
Bipolar disorder. Bipolar disorder.
Men and women work the same number of hours a week, but men spend more time on paid work, and women ... Men and women work the same number of hours a week, but men spend more time on paid work, and women ...
Average Number of Hours Slept per Day by Various Mammalian Species Average Number of Hours Slept per Day by Various Mammalian Species
(A) Normal glomerulus and (B) acute glomerulonephritis. (A) Normal glomerulus and (B) acute glomerulonephritis.
Incidence of acute hepatitis B in the United States, 1980–2008. Incidence of acute hepatitis B in the United States, 1980–2008.
Video: Summary of female reproductive cycle days 1-28

For a complete list of videos, visit our video library