Following a serious thermal burn, which complication will the nurse take action to prevent first?

Explanation: When dealing with a client who has been physically aggressive and is in distress, the best approach for the nurse is to use brief statements and questions to obtain essential information. This approach helps to keep the communication clear, focused, and non-threatening. The nurse should maintain a calm and assertive demeanor while avoiding lengthy discussions that may escalate the client's agitation.

Options not appropriate in this situation:

B. Providing close contact to increase the client's sense of safety may not be safe for the nurse or the client, especially when dealing with someone who has been physically aggressive. It is essential to maintain a safe distance and ensure the safety of everyone involved.

C. Having a sense of humor to show a lack of fear can be misinterpreted by the client and may not be appropriate or therapeutic in this context. The focus should be on establishing a professional and respectful rapport with the client, prioritizing their needs and safety.

Option D may not be the best approach because open-ended questions could lead to lengthy responses, which may not be suitable for a client who is in distress and potentially aggressive. The nurse should aim for concise and clear communication to ensure safety and facilitate a psychiatric assessment efficiently.

Maintaining optimal bladder emptying. A client with benign prostatic hyperplasia (BPH) may have difficulty urinating due to an enlarged prostate gland. To maintain optimal bladder emptying, the nurse may teach the client to double void, sit down while urinating, and avoid caffeine and alcohol.

Leg exercises, choice B, may be helpful in preventing blood clots but are not directly related to BPH.

Coping strategies, choice C, may be helpful for reducing anxiety but do not address the management of BPH.

Deep breathing exercises, choice D, may be helpful for reducing anxiety but do not address the management of BPH.