A client experiencing mania dances about the unit, paces the hallways, seldom sitting, and has difficulty sleeping.  The intervention that will help attain the goal:  Client will demonstrate an appropriate level of activity, is:    

43. Which findings by the nurse caring for a patient with a right radial arterial line indicates a need for the nurse to take immediate action?

A patient diagnosed with bipolar disorder is being treated on an outpatient basis with lithium carbonate 300 mg three times daily. The patient complains of nausea. To reduce the nausea, the nurse can suggest that the lithium be taken with:

At the time of admission, the psychiatrist ordered doses of haloperidol (Haldol) T.I.D. and doses of lithium B.I.D. for a client experiencing mania.  The PT would know that the use of a phenothiazine at the beginning of treatment will have which of the following effects?    

A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and recent job loss. What should be the priority nursing diagnosis for this client?

A female experiencing mania enters the milieu area dressed in a provocative and physically revealing outfit.  Which of the following is the most appropriate intervention by the PT?    

A patient diagnosed with bipolar disorder commands other patients, “Get me a book. Take this stuff out of here,” and other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle. Select the best initial approach by the nurse.

A client in a manic state often displays intrusive behavior.  Which of the following approaches is important to include in the plan of care?     

A patient diagnosed with bipolar disorder and who takes lithium telephones the nurse at the clinic to say, “I’ve had severe diarrhea 4 days. I feel very weak and unsteady when I walk. My usual hand tremor has gotten worse. What should I do?” The nurse should advise the patient:

Which two predominant features of a manic episode can usually be identified quickly?