Final answer:
The priority nursing intervention for a client with a manic episode of bipolar I disorder is to ensure their safety and the safety of others, which includes supervision, structured environment, and administering prescribed medication.
Step-by-step explanation:
Priority Nursing Intervention for Manic Episode of Bipolar I Disorder
A priority nursing intervention for a client experiencing a manic episode of bipolar I disorder involves ensuring the safety of the client and others. This includes implementing measures to prevent harm due to impulsive behavior, such as providing a structured environment, close supervision, and possibly limiting access to objects that could be used for self-harm or harm to others. Additionally, nurses should observe for signs of exhaustion or physical collapse due to the hyperactivity and lack of rest associated with manic episodes. Supporting the client in managing the excessive energy levels through redirecting to safe activities, and ensuring adequate nutrition, hydration, and rest are essential aspects of care.
It is also necessary to administer medication as prescribed by a healthcare provider, since mood stabilizers and antipsychotics may be used to treat the symptoms of a manic episode. Communication with the client should be clear, and the nurse should remain calm and supportive while setting consistent and firm boundaries to address impulsive behavior. Providing education to the client and family about the condition, managing stress, and the importance of adherence to treatment are important for long-term management of bipolar I disorder.