A client in the manic phase of bipolar disorder will not sit down to eat. Which can the nurse do to ensure adequate nutrition and improved self-care of this client?
Select all that apply.
A) Provide a sedative before meals.
B) Discuss finger-food options with the dietitian.
C) Use a jacket restraint at meal times.
D) Ask the healthcare provider if intravenous feedings would be applicable.
E) Provide frequent nutritious snacks.
Answer: B, E
The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten "on the go." The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.
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