A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first?
Stop the newly licensed nurse from administering the medication.
Demonstrate how to verbally de-escalate the situation.
Discuss the purpose of the medication with the client.
Assess the need for physical restraints.
The Correct Answer is B
The nurse manager should follow the principle of least restrictive intervention when dealing with a client who is agitated and refuses treatment. The first step is to attempt verbal de-escalation by using calm, respectful, and empathetic communication, and offering choices and alternatives to the client. This may help reduce the client's anxiety and resistance, and increase their cooperation and trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Delirium is an acute confusional state that can have various causes, such as infection, medication, or metabolic imbalance. It is characterized by a sudden onset of altered mental status, fluctuating levels of consciousness, disorientation, and perceptual disturbances.
Correct Answer is B
Explanation
The nurse's priority is to ensure that the child is safe and protected from further harm. A spiral fracture is a type of fracture that occurs when a bone is twisted, and it is often associated with child abuse. The nurse should assess if there are any other signs of abuse, such as bruises, burns, or cuts, and if there are any threats to the child's well-being at home or elsewhere. The nurse should also provide emotional support and comfort to thechild. The other options are important steps to take, but they are not as urgent as ensuring safety.
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