Which food item, if selected by the patient, would prompt the nurse to provide additional education? Review the patient’s chart to make selection.

The nurse is taking the history of a patient found in the street trying to stop traffic. The patient admits to multiple recent long episodes of severe depression. Then, 12 days ago, the patient described feeling elated and “on top of the world.” He recounts many days planning far-reaching projects that would “change the world,” and required only an hour of sleep once or twice. Patient is talking continuously in a rapid, rushed manner and cannot seem to complete a thought without jumping to the next. He sometimes sees things that others do not see. The nurse anticipates which diagnosis?

The patient requires an indwelling catheter to be placed prior to surgery. Which action does the nurse take first?