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charlie9612 charlie9612
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6 years ago
A patient whose behavior has continued to escalate despite nursing interventions begins to kick and strike out at the nurse. What is the priority nursing intervention?
 
  a. Offer an oral PRN medication.
  b. Have staff stand by at a distance.
  c. Physically control the patient's behavior.
  d. Allow the behavior until the patient de-escalates.
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wrote...
6 years ago
C
When a patient loses control, staff must take physical control to prevent injury to the patient or others. A determination must then be made as what measures are necessary (intramuscular medication, involuntary seclusion, or restraint), keeping in mind the importance of using the least restrictive alternatives that will achieve the goal of safety.
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