25. A 78-year-old man with a history of diabetes has confusion and temperature of 104 degrees F. There is a wound on his right heel with purulent drainage. After an infusion of 3 L of normal saline, his assessment findings are  B/P 84/40 mm/Hg, heart rate 110, respirations 42 and shallow, cardiac out 8 L/min, and PAWP 4 mm/Hg. What conditions does his symptoms indicate?

4. What is an expected assessment finding in a child with coarctation of the aorta?

The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. Select the nurse’s best response.

A newly admitted client is diagnosed with bipolar disorder: manic episode. Which symptom related to altered thought is the nurse most likely to assess?

A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. What should be the nurse’s initial intervention?

Which client statement would the nurse recognize as indicating that the client understands dietary teaching related to lithium carbonate (Lithobid) treatment?

The client is placed under one-to-one observation and objects strongly to being “followed around and watched” and not trusted to behave like an adult.  He screams when the P.T. stays with him as he enters the bathroom.  Which statement is best for the P.T. to make?    

1.  The nurse caring for a child diagnosed with acute rheumatic fever should assess the child for which of the following?

A nurse begins the intake assessment of a client diagnosed with bipolar I disorder. The client shouts, “You can’t do this to me. Do you know who I am?” Which is the priority nursing action in this situation?

After hospital discharge, what is the priority intervention for a patient diagnosed with bipolar disorder who is taking antimanic medication, as well as for the patient’s family?