The nurse is planning care for a client recovering from injuries sustained in a gang fight. Which interventions should the nurse include in the client's plan of care?
Select all that apply.
A) Need for adequate rest and physical activity
B) Methods to reduce anger other than force or physical violence
C) Employment counseling
D) Monitor intake and output
E) Setting limits
Answer: A, B, E
The nurse should plan to provide methods to reduce anger other than force or physical violence because the client is recovering from injuries sustained in a gang fight. The nurse should also set limits with the client who has limited self-control. The client may or may not need intake and output monitored; this will depend upon the injuries. The client may not be old enough for employment counseling. Adequate rest and physical activity are important for all clients.
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