A priority nursing intervention for a client with bipolar mania who has difficulty sleeping is to:
1. Have the night nurse talk with the client.
2. Encourage long naps during the day.
3. Administer PRN zolpidem tartrate (Ambien).
4. Provide strenuous exercise prior to bedtime.
3
Rationale: Administering PRN zolpidem tartrate (Ambien) does not suppress REM sleep and is effective for sleep. Sleep should be encouraged because sleep deprivation may enhance mood disorder symptoms. Having the night nurse talk with the client does not encourage the client to rest. Sleeping during the day interferes with establishing a regular sleep pattern at night. Providing strenuous exercise prior to bedtime promotes stimulation rather than relaxation.
You might also like to view...
The normal position of the uterus within the body cavity is:
1. Anteflexed. 2. Retroflexed. 3. Retroverted. 4. Anteverted.
Which statement made by the older adult client alerts the nurse to assess specifically for fluid and electrolyte imbalances?
a. "My skin is always so dry, especially here in the Southwest." b. "I often use a glycerin suppository for constipation." c. "I don't drink liquids after 5 PM so I don't have to get up at night." d. "In addition to coffee, I drink at least one glass of water with each meal."
Which is not a sign of venous insufficiency?
1) Thick skin 2) Poor wound healing 3) Rubor 4) Edema
A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St. John's wort. Which vital sign should the nurse assess for possible adverse effects?
1. Temperature 2. Respiratory rate 3. Oxygen saturation 4. Pulse rate