A manic client dances around the unit, seldom sits, monopolizes conversations, interrupts, and
intrudes. The nursing intervention that will best promote the outcome that the client will consistently
demonstrate energy conservation is
a. monitoring physiological functioning.
b. supervising personal hygiene.
c. observing for mood changes.
d. providing a subdued environment.
D
All the options are reasonable interventions with a client with acute mania, but option D directly
relates to the outcome of energy conservation by providing a subdued environment that will decrease
stimulation and help balance activity and rest.
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Central cyanosis is secondary to
a. changes in outside temperature. c. nervous anxiety. b. marked heart and lung disease. d. age-related changes in skin color.
The nurse is performing an assessment of a patient's nails. What should be included in this examination?
Select all that apply. 1. nail thickness 2. nail color 3. nail curvature 4. nail length 5. for grooves
The patient has received several units of citrated blood very quickly. The nurse notes that the patient now has facial nerve contraction. What electrolyte disturbance is the patient most likely to be experiencing?
a. hypokalemia c. hypermagnesemia b. hypocalcemia d. hyperphosphatemia
A nurse is assessing a 48-year-old client with fever at the community health center
What is usually a non-nursing procedure performed by the nurse in this setting? A) Teaching clients and families B) Arranging for hospital admission C) Assisting with sterile procedures D) Performing laboratory procedures