A client diagnosed with Bipolar Disorder states,"I hate oatmeal.Let's get everybody together to do exercises.I'm thirsty and I'm burning up.Get out of my way;I have to see that guy." Which is the priority nursing action?
A)Assess the client's vital signs.
B)Offer to have the dietitian discuss food preferences.
C)Encourage the client to lead the exercise program in the community meeting.
D)Acknowledge the client briefly and then walk away.

Question

Quizplus · Accepted Answer

The priority nursing action in this scenario is to assess the client's vital signs. The client is exhibiting signs of mania and may be experiencing hyperthermia, which could be a medical emergency. The nurse should assess the client's temperature, heart rate, and blood pressure to determine if any additional interventions or medical treatment are necessary.

A Client Diagnosed with Bipolar Disorder States,"I Hate Oatmeal