A client diagnosed with bipolar disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this client's priority nursing diagnosis?

1. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
2. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
3. Risk for suicide R/T powerlessness AEB insomnia and anorexia
4. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights


2
Rationale: The nurse should identify that the priority nursing diagnosis for this client is altered nutrition: less than body requirements R/T hyperactivity AEB weight loss. Because of the client's rapid weight loss, the nurse should prioritize interventions to ensure proper nutrition and physical health.

Nursing

You might also like to view...

Which of the following is not a research tradition widely used by qualitative nurse researchers?

A) Experimental B) Phenomenologic C) Ethnographic D) Grounded theory

Nursing

A nursing instructor is teaching a group of students about learning. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of adult learning? Select all that apply

A) Adults prefer a formal learning environment. B) Adults draw on past experiences to facilitate learning. C) Adults learn best by listening. D) Adults learn best by active learning. E) Adults are most often visual learners.

Nursing

A pediatrician confirms a diagnosis of Kawasaki disease for a 2-year-old patient. The pediatric nurse knows that diagnostic criteria for this disease include:

A) cyanosis. B) cracking lips. C) strawberry tongue.

Nursing

A 72-year-old woman is injured in a fall down a flight of steps at home and is placed on bedrest in the hospital. Select the interventions by the nurse for this client that best prevent the complica-tions of immobility

a. Limiting the fluid intake to 200 mL per shift to prevent dependent edema. b. Giving the client a full-bed bath and feeding her all meals to reduce potential injury to fragile bones. c. Massaging bony prominences and turning the client every 2 hours. d. Ambulating the client to the bathroom in-stead of using the bedpan.

Nursing