If the nurse assesses that the client appears more agitated and that personal safety may be threatened, the nurse should first:
A. Restrain the client
B. Remove himself or herself from the situation
C. Call security personnel and close the client's door
D. Tell the client that the aggressive behavior is inappropriate
B
B. The nurse should not stay in a situation that is personally threatening.
A. Restraints may cause the client to be more angry and threatened.
C. Although calling security personnel may be appropriate, closing the door can be unsafe for the client and the nurse.
D. Telling the client the behavior is inappropriate may be antagonistic and threatening.
You might also like to view...
What is a method used to kill all microorganisms, including spores?
a. Disinfecting b. Using an antiseptic c. Using chlorine bleach d. Sterilizing
Which of the following signs and symptoms may indicate that the condition of a client who has chronic glomerulonephritis is deteriorating?
a. anasarca c. polyuria b. ataxia d. uremic frost
For which patient is the nursing diagnosis Deficient Recall most appropriate?
a. Adolescent with Down syndrome and newly diagnosed with cardiac problem b. Young adult admitted with acute renal failure who requires hemodialysis c. Middle-aged woman with breast cancer receiving the last round of chemotherapy d. Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer
What is the role of thromboxane A (TXA2) in the secretion stage of hemostasis?
a. Stimulates the synthesis of serotonin. b. Promotes vasodilation. c. Stimulates platelet aggregation. d. Promotes formation of cyclooxygenase.