Exhibiting increased agitation

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Reference no: EM133906641

Question

A nurse is caring for a client who is exhibiting increased agitation. The nurse offered toileting, lowered the lights in the client's room and closed door to client's room. Admission Assessment Vital Signs Nurses' Notes Nurses' Notes 2200: Increasing agitation , and states, "I am getting out of this bed." 2215: Daughter who is POA was contacted and states, "They get more agitated at night, and this is when they falls. We don't know what to do. I am unable to come in as I am out of state." 2218: Provider contacted no new prescriptions received. 2220: Client remains agitated and repeats, "I am getting out of this bed and leaving this place." The nurse states, "You may not climb out of bed" and applied a wrist restraint and raised all bedside rails. Complete the following sentence by using the lists of options. The nurse is at risk for Select... as evidenced by Select... .

Reference no: EM133906641

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