The nurse continues to care for the client. A nurse on the inpatient mental health unit is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.

Rationale: • Weigh the client each day: Clients with mania often experience poor nutrition due to decreased appetite, lack of attention to meals, and excessive activity. Daily weight monitoring helps assess nutritional status and detect early weight loss, guiding interventions to maintain physical health during hospitalization. • Encourage the client to avoid napping during the day: This client has not slept for two days. Sleep deprivation exacerbates mania and can lead to physical exhaustion or cardiac collapse. The nurse should encourage rest whenever possible, even in short increments, to help stabilize the client's mood and physical health. • Provide the client with high-calorie fluids every hr: Clients in manic episodes may forget to eat or drink adequately. Offering frequent high-calorie fluids ensures sufficient caloric and hydration intake to prevent malnutrition and dehydration, supporting physical well-being and energy demands of hyperactivity. • Minimize environmental stimuli for the client: Mania is characterized by extreme distractibility and a heightened response to the environment. A quiet, low-stimulus room (dim lights, limited visitors, low noise) helps reduce agitation and prevents the client's symptoms from escalating.