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The Nurse Is Providing Care to a Client Who Is

Question 16

Multiple Choice

The nurse is providing care to a client who is diagnosed with paranoid schizophrenia.The client is threatening the staff and believes the staff is trying to harm him.When the nurse enters the client's room,the client is agitated,and attempts to slap the nurse.The nurse gets assistance from other staff members and restrains the client.Which nursing action is the priority at this time?


A) Requesting a psychiatric referral
B) Notifying the health care provider of the need to see the client within the hour
C) Padding the side rails
D) Obtaining consent from the client for use of restraints

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