ATI RN Comprehensive Predictor 2023 Updated Proctored Exam
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take?
Explanation & Rationale
A. The client's behavior should be assessed more frequently (e.g., every 15-30 minutes) during seclusion to ensure their safety. B. Documenting the client's behavior prior to seclusion helps provide a clear rationale for the decision and the need for the intervention. C. Discussing inappropriate behavior is not appropriate while the client is in seclusion and may exacerbate agitation. D. Fluids should be offered more frequently than every 2 hours during seclusion to ensure hydration and comfort.
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