A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication.The client has prescriptions for an anxiolytic and an SSRI antidepressant.Which of the following precautions should the nurse take?

Choice A rationaleImplementing 24-hr one-to-one nursing observation is crucial for ensuring the safety of a client who has overdosed and is at risk of self-harm.Choice B rationaleDocumenting the client's behavior every 2 hr is not sufficient to ensure their safety in an overdose situation.Choice C rationaleRestricting interactions with other clients does not directly address the immediate risk of harm to the client.Choice D rationaleAdministering prescribed medication via the IM route does not provide the necessary supervision for a client at high risk of self-harm.