SOLVED2033

Before answering this , review the client’s health information in the EHR. The nurse is completing hourly rounding at 2300 and discovers that the client is not in her bed and is found at one of the exits pushing on the door and attempting to get out. What actions should the nurse take when interacting with this client? Select all that apply. Distract the client by telling her that her mother is unhappy that she’s behaving this way. Assess the client for injury. Ask if the client wants to go outside. Attempt to move the client out of the hallway into a quiet space with reduced stimuli. Work with another staff member to perform a manual hold on the client. Call the client’s family to come in and sit with her. Consider the use of chemical restraint for this client. Guide the client back to her room. Speak before approaching and touching the client.
SCIENCE
HEALTH SCIENCE
NURSING

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