A nurse hears screaming from a client?s room. A male visitor leaves the client?s room. Which action should the nurse take at this time?
1. Call the local police.
2. Notify the client?s physician.
3. Follow the visitor.
4. Check on the client and assess the client?s condition.
4
Explanation: 1. The next action for the nurse is to insure the safety of the client and the other staff. Security
should be informed of the visitor?s location so they can manage the situation and contact the
police department. Once the environment is safe, the physician should be contacted and
informed of the incident.
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