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

Obtain the provider's prescription within 60 min.

Document the client's behavior every 15 min.

Monitor the client's vital signs every 4 hr.

Offer the client food and fluids every 2 hr.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Obtaining the provider's prescription within 60 min is not the immediate action required in this scenario. The priority is to ensure the safety of the client and others, which is achieved by continuous monitoring and documentation.

Choice B reason:

Documenting the client's behavior every 15 min is crucial in managing physically aggressive clients in seclusion. This allows the healthcare team to monitor the client's condition closely and make necessary interventions promptly.

Choice C reason:

Monitoring the client's vital signs every 4 hr may not be frequent enough for a client in seclusion who has been physically aggressive. The client's condition could change rapidly, and more frequent monitoring might be necessary.

Choice D reason:

Offering food and fluids every 2 hr is important for maintaining the client's physical health, but it is not the primary action in managing a physically aggressive client in seclusion. The immediate focus should be on ensuring safety and managing the client's aggressive behavior.

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Correct Answer is D

Explanation

Alprazolam is a benzodiazepine that can provide rapid relief of anxiety symptoms during a panic attack. Atomoxetine is a selective norepinephrine reuptake inhibitor that is used to treat attention-deficit/hyperactivity disorder, not anxiety disorders. Journaling and watching television are not appropriate interventions during an acute panic attack, as they do not address the client's physiological and psychological needs.

A. Tell the client he cannot refuse the treatment because he was involuntarily committed. B. Inform the client that ECT does not require client consent. C. Document the client's refusal of the treatment in the medical record. D. Ask the client's family to encourage the client to receive ECT.

Correct Answer is C

Explanation

The nurse should respect and document the client's right to refuse treatment, even if he was involuntarily committed, unless there is a court order for ECT. The nurse should not coerce, misinform, or pressure the client to receive ECT against his will. 22.

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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 in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack?

Correct Answer is D

Explanation

A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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