The nurse continues to care for the client. Exhibits 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: Minimize environmental stimuli for the client: The client is displaying signs of acute mania including hyperactivity, distractibility, pressured speech, and hallucinations. A low-stimulation environment helps reduce sensory overload, agitation, and impulsive behavior, promoting safety and stabilization in manic patients. Weigh the client each day: The client has poor nutritional intake and increased activity, increasing risk for weight loss. Daily weights allow nurses to monitor nutritional status and detect early signs of dehydration or malnutrition, which are common in manic episodes where the client neglects eating. Provide the client with high-calorie fluids every hour: Due to constant movement, poor oral intake, and elevated energy levels, clients in a manic state are at high risk for fluid and calorie deficits. Offering high-calorie fluids frequently supports hydration and nutrition without requiring the client to sit down for full meals, which they may be too distracted to do. Encourage the client to avoid napping during the day: This client has not slept for 2 days, which exacerbates mania and disorientation. Preventing napping would worsen sleep deprivation. Instead, the nurse should promote rest whenever possible to help regulate mood, decrease agitation, and improve cognition in manic clients.