A nurse hears screaming from a client's room. A male visitor leaves the client's room. Which is the nurse's priority action?
1. Call the police.
2. Notify the client's physician.
3. Follow the visitor.
4. Check on the client.
4
Rationale 1: Calling the police is not the priority action.
Rationale 2: Notifying the client's physician is not the priority action.
Rationale 3: The nurse should not follow the visitor, but should make note of the direction the visitor took when leaving.
Rationale 4: The priority action for the nurse is to ensure the safety of the client and the other staff.
Global Rationale:
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