Difficulty: Medium
Average Score: 66%
Simulated
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct answer
C
Rationale
The correct answer is C: Document the client's behavior every 15 minutes. This is crucial to monitor the client's response to seclusion, assess for any changes in behavior, and ensure the client's safety. Offering food and fluids (choice A) may not be appropriate during seclusion due to safety concerns. Vital signs monitoring (choice B) is important but may not be as immediate as documenting behavior. Obtaining the provider's prescription (choice D) is important but not as immediate as continuous monitoring of behavior.