A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

Have the patient sit in his room while you review all the rules of the unit.

Reinforce previously learned coping mechanisms to calm the patient down.

Place the patient in a room with another hyperactive patient.

Administer antipsychotic medication as ordered and as needed by the physician.

Answer and Explanation

The Correct Answer is D

Choice A reason: Having the patient sit alone while reviewing rules does not address the immediate risk of injury due to hyperactivity.

Choice B reason: Reinforcing coping mechanisms can help the patient manage hyperactivity and reduce the risk of injury.

Choice C reason: Placing the patient with another hyperactive patient could potentially exacerbate the situation and increase the risk of injury.

Choice D reason: While administering medication may be necessary, it should be done in conjunction with other interventions that address behavior management.

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Correct Answer is D

Explanation

Choice A reason: While aspirin does have anti-inflammatory properties, the primary reason for prescribing it post-myocardial infarction is not to reduce inflammation.

Choice B reason: Aspirin can provide pain relief, but this is not the main purpose of its prescription following a myocardial infarction.

Choice C reason: Fever prevention is not a relevant effect in the context of aspirin use for coronary artery disease.

Choice D reason: Aspirin is prescribed to prevent blood clotting. It inhibits platelet aggregation, which is crucial in reducing the risk of further heart attacks by preventing clots that can occlude coronary arteries.

A. Call for help while holding the patient in bed. B. Walk the patient to the bathroom. C. Obtain a bedside commode. D. Obtain a bedpan for the patient to use.

Correct Answer is C

Explanation

Choice A reason: Physically restraining the patient is not appropriate unless the patient is at immediate risk of harm to themselves or others.

Choice B reason: Walking the patient to the bathroom may not be safe if the patient has been prescribed bedrest due to heart failure.

Choice C reason: Obtaining a bedside commode respects the patient's autonomy and dignity while adhering to the prescribed bedrest.

Choice D reason: While obtaining a bedpan is an option, a bedside commode may be more comfortable and dignified for the patient.

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A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

Correct Answer is D

Explanation

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

Correct Answer is C

Explanation

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