The nurse is preparing to give an emergency sedative injection to an agitated client.
Which action by the nurse is inappropriate?
Placing a client in restraints without having a healthcare provider's order.
Administering the medication to a client behind a closed curtain.
Enlisting security personnel to assist with restraining the client.
Informing a client that the medication being administered is a sedative.
The Correct Answer is A
Placing a client in restraints without having a healthcare provider’s order.
It is inappropriate for a nurse to place a client in restraints without having a healthcare provider’s order.
Choice B is not the answer because administering the medication to a client behind a closed curtain is not necessarily inappropriate.
Choice C is not the answer because enlisting security personnel to assist with restraining the client may be necessary in some situations.
Choice D is not the answer because informing a client that the medication being administered is a sedative is not necessarily inappropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Pressure redistribution is an important part of preventing and treating pressure sores1.
Choice A is not the answer because offering oral fluids does not directly address the issue of pressure sores.
Choice C is not the answer because debridement is a surgical procedure that removes dead tissue from a wound and may not be necessary in this case.
Choice D is not the answer because checking for anemia and sensitivity does not directly address the issue of pressure
Correct Answer is C
Explanation
This response shows that the nurse is willing to listen and provide support to the client.
It also allows the client to decide if they want to talk and share their feelings.
Choice A is not correct because it is not the most therapeutic response.
While it does encourage the client to talk about their visit with their significant other, it does not show that the nurse is willing to listen and provide support.
Choice B is not correct because it is not the most therapeutic response.
While it does acknowledge that the client may be feeling lonely, it does not show that the nurse is willing to listen and provide support.
Choice D is not correct because it is not the most therapeutic response.
While it does encourage the client to talk about their visit, it does not show that the nurse is willing to listen and provide support.
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