An ICU nurse has just assisted the physician in placing a central ...

[CharlieWard]

An ICU nurse has just assisted the physician in placing a central line on a client. Over the past few days the clients son has been verbally abusive to the nursing staff and this abuse has escalated over the past 2 days.
 
  Another nurse informs the nurse the clients son is in the hallway wanting to see the client. Which action by the nurse would be appropriate? 1. Remove the central line tray from the room.
  2. Inform the son regarding the clients condition.
  3. Ignore the son.
  4. Limit the sons visitation.

Question 2

An ICU unit has experienced an influx of aggressive behaviors among visitors. The ICU manager has instituted a policy to limit visiting hours. An employee asks the manager why the change in visiting hours has been implemented.
 
  Which of the following would be an appropriate response? 1. The unit has been so busy, I must allow for the nurses to have time to provide client care.
  2. The visitor hours have not been adjusted in years. It was time to change them.
  3. The physicians have requested limited visiting hours.
  4. The visiting hours allowed for added stress and commotion to the nursing staff.

[essyface1]

Answer to Question 1

1
Explanation: 1. Health care staff should be aware when and where to store health instruments that may be
used as weapons. The son should be informed of the clients condition, but with the history
and the escalation of his behavior the nurse should be prepared to protect himself and others.
Ignoring the son and limiting visitation may cause the violent behavior to escalate.

Answer to Question 2

4
Explanation: 1. Limiting visiting hours addresses one of the risk factors contributing to violence in health care.
Having an open door policy for visitors in which visiting hours are not restricted, and
visitors are not required to check in when they enter can lead to increased violence.

[CharlieWard]

Excellent

[covalentbond]

TYSM