A client being admitted for surgery has a concurrent history of bipolar disorder. The nurse would assess this client for manifestations of mania that include

a. crying spells.
b. decreased energy level.
c. excessive, rapid speech.
d. sad mood.


C
Manifestations of mania include elated mood that is not attributable to a real event, denial of having an emotional problem, impulsive acts that may be dangerous or socially inappropriate, increased energy level, increased socialization to the point of intrusiveness, excessive rapid speech, increased or decreased appetite, decreased need for sleep, and increased libido.

Nursing

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A certified nurse?s aide (CNA) has been reported to the nurse manager for refusing to wash her hands between giving clients their morning care. Which of the following statements by the nurse manager would be the most effective?

1. ?Do you need a class on hand washing?? 2. ?Forgetting to wash your hands between clients can lead to spread of infection.? 3. ?Why do you refuse to wash your hands?? 4. ?If I hear of any more instances of your not washing your hands, I will write you up.?

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A client with Parkinson's disease is receiving levodopa (L-dopa) to reduce symptoms. What would indicate the effectiveness of the medication?

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Nursing

The nurse is caring for a patient with peripheral vascular disease. Which of the following signs or symptoms would the nurse expect? (Select all that apply.)

a. Pain b. Paralysis c. Paresthesia d. Pulselessness e. Pruritus f. Purpura

Nursing