An ICU nurse has just assisted the physician in placing a central line on a client. Over the past few days the client?s son has been verbally abusive to the nursing staff and this abuse has escalated over the past 2 days
Another nurse informs the nurse the client?s son is in the hallway wanting to see the client. Which action by the nurse would be appropriate? 1. Remove the central line tray from the room.
2. Inform the son regarding the client?s condition.
3. Ignore the son.
4. Limit the son?s visitation.
1
Explanation: 1. Health care staff should be aware when and where to store health instruments that may be
used as weapons. The son should be informed of the client?s condition, but with the history
and the escalation of his behavior the nurse should be prepared to protect himself and others.
Ignoring the son and limiting visitation may cause the violent behavior to escalate.
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