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 B

Explanation

A. Cocaine is a stimulant and increases sympathetic nervous system activity, which typically results in tachycardia (increased heart rate), not bradycardia (slowed heart rate).
B. Cocaine use stimulates the cardiovascular system, leading to elevated blood pressure (hypertension), which is a common and dangerous effect that requires immediate attention.
C. Cocaine is a stimulant, so it typically causes increased energy and alertness, not lethargy, which is more associated with depressant substances.
D. Cocaine typically increases body temperature, not decreases it. Hypothermia is more likely with other conditions or substances, such as alcohol or extreme environmental conditions.

A. Administer methadone hydrochloride. B. Acidify the client's urine. C. Monitor for orthostatic hypotension. D. Implement seizure precautions.

Correct Answer is D

Explanation

A. Methadone is used for opioid use disorder, not alcohol withdrawal. It would not be effective for treating alcohol intoxication or withdrawal symptoms.
B. Acidifying urine is a method used for drug overdose management in some cases, but it is not appropriate for alcohol intoxication. The focus should be on managing withdrawal symptoms and preventing complications.
C. Orthostatic hypotension is a concern for clients with alcohol use disorder, particularly during withdrawal. However, it is not the most immediate intervention required for a client who is intoxicated and at risk for withdrawal.
D. Clients with alcohol use disorder are at risk for withdrawal seizures, which can occur within 6 to 48 hours after cessation of drinking. Seizure precautions are essential to prevent injury and complications during withdrawal.

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 in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?

Correct Answer is D

Explanation

A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

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?

Patient Data Exhibits When educating the client about their medication, the nurse should teach the client that there is risk for dropdown due to dropdown

A nurse is caring for a client who is undergoing electroconvulsive therapy. Whi from his provider. Which of the following actions should the nurse personnel?

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 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 caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?