NCLEX-RN QBank Subject: Manual physical balance

NCLEX Practice Questions: Quiz 900
A client admitted with hepatic encephalopathy continues to attempt ambulation without assistance despite repeated instruction. Which intervention should the nurse take to promote safety?

1. administer Xanax 6 mg PO

2. apply a vest restraint device

3. request a family member stay with the client around the clock

4. move the client closer to the nurses’ station

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August 9, 2022