Difficulty: Medium
Average Score: 81%
Simulated
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Offer hydration and nutrition to the client every 2 hours. This is essential to ensure the client's basic physiological needs are met while in restraints. Hydration and nutrition are vital for the client's well-being and overall health. Offering these every 2 hours helps prevent dehydration and malnutrition. Checking on the client every 30 minutes (Option A) is important, but providing hydration and nutrition takes precedence. Assessing the client's need for toileting every 15 minutes (Option B) may not be necessary unless there are specific concerns. Asking the provider to renew the prescription every 8 hours (Option C) is not directly related to the client's immediate care needs.