A client with bipolar disorder who became hyperactive after discontinuing lithium has not eaten or
slept for 3 days. Which of the following nursing diagnoses would be of priority importance?
a. Ineffective coping
b. Risk for injury
c. Caregiver role strain
d. Impaired social interaction
B
Although each of the nursing diagnoses listed is appropriate for a client having a manic episode, the
priority lies with the client's physiological safety. Hyperactivity and poor judgment put the client at
high risk for injury.
You might also like to view...
A client in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting. What action by the nurse takes priority?
a. Administer an aspirin. b. Call for an electrocardiogram (ECG). c. Maintain airway patency. d. Notify the provider.
A nurse must be careful when administering opioid antagonists to clients taking which of the following? Select all that apply
A) Codeine for cough B) Zolpidem for sleep C) Oxycodone for analgesia D) Naproxen for analgesia E) Diphenoxylate for diarrhea
Given below are some profiles of older clients. Which one has the highest risk of developing pyelonephritis?
A) A client with acute renal failure B) A client with a urinary tumor C) A female client with preexisting chronic glomerulonephritis D) A client with urinary obstruction
As you assess a pregnant patient you suspect false large-for-dates presentation. You should recognize that a possible cause for this is:
A. Inaccurate LMP date B. Excessive amniotic fluid C. Maternal obesity D. All of the above