A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?

Offer the client food and fluids every 2 hr.

Monitor the client's vital signs every 4 hr.

Document the client's behavior every 15 min.

Obtain the provider's prescription within 60 min.

Answer and Explanation

The Correct Answer is C

A.   Offering food and fluids is important, but it is not the most urgent action. The priority during seclusion is to monitor the client's well-being and behavior to ensure safety and effectiveness.
B.   Vital signs should be monitored regularly, but more frequent monitoring is often necessary in situations involving seclusion, especially if the client is at risk for medical complications.
C.   Documenting the client's behavior every 15 minutes is essential for ensuring that the client's safety is maintained and to comply with legal and ethical guidelines for seclusion.
D.   The provider's prescription for seclusion should be obtained promptly, and it is important to act within the required timeframes. However, the immediate priority is monitoring the client's behavior for safety.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A. Installing locks at the top of doors is a safety measure to prevent wandering at night. It ensures that the client cannot easily open the door and leave the house.
B. Positioning the mattress on the floor helps prevent injury from falls by eliminating the risk of the client falling from a height while in bed.
C. Encouraging physical activity can help promote better sleep, but it should be done earlier in the day. Excessive stimulation right before bedtime could have the opposite effect.
D. Installing sensor devices on outside doors alerts caregivers when the client attempts to leave the house, which is important for preventing wandering.
E. Placing the client in a reclining chair is not recommended as a safety measure for wandering and could be uncomfortable, limiting the client's mobility and ability to rest properly.

Correct Answer is ["10"]

Explanation

Per dose= 40mg/2= 20mg per dose

Available concentration = 10mg/5ml

Each ml contains: 2mg

Therefore, the child should receive: 20mg/2mg/ml= 10mls per dose

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

Correct Answer is ["10"]

Explanation

A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?

A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits Complete the following sentence by using the lists of options. The nurse should first administer dropdown followed by administering dropdown

An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, "I'm so worried that my mother is depressed." Which of the following responses should the nurse make?

A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)