A client in the manic phase of bipolar disorder will not sit down to eat. Which of the following can the nurse do to ensure adequate nutrition and improved self-care of this client?
1. Provide a sedative before meals
2. Use a jacket restraint at meal times
3. Discuss finger food options with the dietitian
4. Ask the physician if intravenous feedings would be applicable
3. Discuss finger food options with the dietitian
Rationale:
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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