Question

What is the appropriate nursing action when caring for a client in seclusion?

1) Monitor the client's behavior and vital signs regularly.
2) Provide the client with privacy and ensure their safety.
3) Engage the client in therapeutic activities to promote relaxation.
4) Administer medications to calm the client's agitation.

Answer 1

The appropriate nursing action for clients in seclusion is to monitor their behavior and vital signs regularly under the direct supervision of a registered nurse, ensuring their safety and well-being.

Step-by-step explanation:

When caring for a client in seclusion, the appropriate nursing action is to monitor the client's behavior and vital signs regularly. This is essential to ensure the safety and well-being of the patient while they are in a secluded environment. It is the responsibility of the nursing staff to observe the patient continuously, usually under the direct supervision of a registered nurse. Monitoring includes assessing and responding promptly to the patient's needs before, during, and after treatment.

The nurse should also be attentive to any signs of distress or medical complications that could arise during seclusion. Taking and reporting a patient's vital signs at regular intervals is crucial in detecting any issues early, and it remains part of providing comprehensive care even when the patient is in seclusion. Additionally, if the patient is receiving particular treatments such as dialysis, the nurse must ensure that solutions and equipment are prepared accurately and that sterile procedures are maintained to prevent infection and other complications.