Difficulty: Medium
Average Score: 80%
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
A
Rationale
The correct answer is A: Document the client's behavior every 15 min. This is crucial to monitor the client's progress, assess the effectiveness of the seclusion, and ensure their safety. Option B is incorrect as offering food and fluids may not be appropriate during a crisis situation. Option C is incorrect as vital signs should be monitored more frequently in this scenario. Option D is incorrect as obtaining a provider's prescription is not the immediate priority in managing a client in seclusion.