Which of the following actions should the nurse take first when caring for a client with bipolar disorder who is becoming increasingly restless, pacing, speaking rapidly, and using profanities and sexual references?

A. Assess the client for signs of imminent violence or harm to self or others.
B. Administer a prescribed sedative medication to calm the client down.
C. Engage the client in a conversation to redirect their thoughts and behavior.
D. Notify the healthcare provider and request a change in the client's medication.

The nurse should assess the client for signs of imminent violence or harm to self or others as the first action when caring for a client with bipolar disorder who is becoming increasingly restless, pacing, speaking rapidly, and using profanities and sexual references.

Explanation:

The nurse should assess the client for signs of imminent violence or harm to self or others as the first action when caring for a client with bipolar disorder who is becoming increasingly restless, pacing, speaking rapidly, and using profanities and sexual references.

This is because these behaviors may indicate an escalation of the client's manic episode, and there is a potential risk for harm to themselves or others. By assessing for signs of violence or harm, the nurse can determine the level of risk and take appropriate action to ensure the safety of both the client and others.

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