Nurse is caring for client who is agitated and confused

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The nurse is caring for a client who is agitated and confused. The client is persistently trying to get out of bed and attempted to remove the peripheral IV. The nurse has attempted to re-orient the client; however, this was not effective in de-escalating the client's agitation. The client yells, "I am going to punch you in the face!" What is the nurse's next action? Administer antipsychotic medication Apply physical restraints Call security personnel to assist Move out of the client's view.

Reference no: EM133687982

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