Author Question: A client has been admitted to the inpatient psychiatric unit because the client has displayed ... (Read 58 times)

penza · **on:** Jul 22, 2018

A client has been admitted to the inpatient psychiatric unit because the client has displayed violent behavior and is at risk for potentially harming others. Which of the following should the nurse avoid doing when caring for this client?

1. Admitting the client to a room near the nurses' station
2. Facing the client while speaking and providing nursing care
3. Arranging for a security officer to be available in the general area
4. Closing the door to the client's room when giving care to the client

Question 2

The nurse is reviewing the physician's documentation in the record of a child admitted with a diagnosis of intussusception. The nurse expects to note that the physician has documented the presence of:

1. Scleral jaundice
2. Projectile vomiting
3. Currant jellytype stools
4. Pale-colored and hard stools

potomatos · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: The nurse should not isolate herself or himself with a potentially violent client. The door to the client's room should remain open when giving care. The client should be placed in a room near the nurses' station and not at the distant end of a corridor. The nurse should never turn away from the client. A security officer or male aide should be readily available if there is a pos-sibility of imminent violence.

Answer to Question 2

3

Rationale: In the child with intussusception, bright red blood and mucus are passed through the rectum, resulting in what is commonly described as currant jelly stools. The child classically presents with severe abdominal pain that is crampy and intermittent, causing the child to draw the knees in to the chest. Vomiting may be present, but not projectile. Scleral jaundice and pale-colored and hard stools are not manifestations of this disorder.