A Patient Whose Behavior Has Continued to Escalate Despite Nursing

question 31

Multiple Choice

A patient whose behavior has continued to escalate despite nursing interventions begins to kick and strike out at the nurse.What is the priority nursing intervention?

• A) Offering an oral PRN medication
• B) Having staff stand by at a distance
• C) Physically controlling the patient's behavior
• D) Allowing the behavior until the patient de-escalates

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Definitions:

Alkaline

Having a pH greater than 7, indicating a base where concentration of hydroxide ions is greater than that of hydrogen ions.

Blood

A body fluid in humans and other animals that delivers necessary substances such as nutrients and oxygen to the cells and transports metabolic waste products away.

pH

A scale measuring the acidity or alkalinity of a solution, where 7 is neutral, values below 7 are acidic, and values above 7 are alkaline.

Buffers

Substances that minimize changes in the pH of a solution by absorbing or releasing hydrogen ions.