. A nurse is caring for a client who is becoming agitated. While attempting to deescalate, which of the following actions should the nurse take first?

Select a quiet location to talk to the client while remaining visible to staff members.

Give the client several clear options.

Observe the client and the situation.

Respect the client's personal space.

Answer and Explanation

The Correct Answer is C

A. Selecting a quiet location is important, but first, it is essential to assess the client's current state and the surrounding environment.

B. Providing options can help empower the client, but it is best to first observe the client to gauge their level of agitation and determine the appropriate response.

C. Observing the client and the situation allows the nurse to understand the severity of the agitation and the context, which is critical for making informed decisions about the next steps.

D. Respecting personal space is important, but it should follow an assessment of the situation to ensure safety for both the client and staff.

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Correct Answer is B

Explanation

A. A quick inhalation is not the correct technique; the child should take a slow, deep breath in while pressing down on the inhaler to ensure effective medication delivery.

B. Taking the medication 15 minutes before playing sports allows time for the medication to take effect, making this the best choice.

C. The mouthpiece should be cleaned more frequently, typically after each use, to prevent buildup of medication and bacteria.

D. Waiting 10 seconds between inhalations is generally advised; however, the more important instruction here is the timing of medication before sports.

A. Contact B. Droplet C. Protective Equipment D. Airborne

Correct Answer is A

Explanation

A. Contact precautions are appropriate for MRSA to prevent the transmission of bacteria through direct or indirect contact with the infected area. This includes wearing gloves and gowns when caring for the client and ensuring proper hand hygiene.

B. Droplet precautions are used for pathogens that are spread through respiratory droplets, which is not applicable to MRSA.

C. Protective equipment is typically used for immunocompromised patients to prevent infections, but it is not the standard for MRSA.

D.Airborne precautions are necessary for diseases that spread through airborne particles, which does not include MRSA.

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. A nurse is caring for a client who is becoming agitated. While attempting to deescalate, which of the following actions should the nurse take first?

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