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Author Question: Staff members take an aggressive patient to seclusion. Before leaving the patient in the room, the ... (Read 37 times)

theo

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on: Jul 19, 2018
Staff members take an aggressive patient to seclusion. Before leaving the patient in the room, the priority action should be
 
  a. remove potentially harmful objects from the patient.
  b. require the patient to use the bathroom.
  c. have the patient lie on the bed.
  d. offer the patient fluids.

Question 2

A patient has taken clonazepam (Klonopin) for years to manage panic attacks but impulsively stopped the drug. Thirty hours later, the patient comes to the emergency room in distress. What is the nurse's priority action?
 
  a. Begin seizure precautions.
  b. Refer the patient for addiction counseling.
  c. Institute a behavior modification program.
  d. Prepare to administer flumazenil (Romazicon).


flannelavenger

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Reply #1 on: Jul 19, 2018
Answer to Question 1

A
Use of seclusion promotes safety, so removal of harmful objects is necessary. Seclusion is also designed to decrease stimulation. The patient might be asked if he or she needs to go to the bathroom but will not be forced to do so. In some facilities there is no bed in the room, only a mattress on the floor.

Answer to Question 2

A
There is evidence to suggest that abrupt withdrawal of clonazepam might precipitate status epilepticus. With this in mind, withdrawal from long-term use warrants seizure precautions. The patient does not have an overdose, so flumazenil (Romazicon) is not indicated. The other options are inappropriate.


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