Free NCLEX RN Practice Questions Practice Question
The nurse is caring for a cognitively impaired client who begins to pull at the tape securing his IV site. To prevent the client from removing the IV, the nurse should:
Correct Answer: A
Rationale: Option A effectively addresses the client's behavior by using tape to secure the IV site while minimizing the client's ability to see the tape, reducing the likelihood of agitation or confusion. This approach promotes safety without causing distress.
Option B, while informative, may not be effective with a cognitively impaired client who may not understand the consequences of their actions.
Option C is inappropriate as it involves physical punishment, which can escalate anxiety and aggression.
Option D, applying restraints, could violate the client's rights and dignity, and should only be considered as a last resort in accordance with facility policies.
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