💊 NCLEX-RN Exam Prep

A patient with a history of confusion becomes increasingly agitated and attempts to pull out their nasogastric tube. After attempting verbal de-escalation unsuccessfully, what is the nurse's next priority action before considering physical restraints?

A Contacting the healthcare provider immediately for a restraint order.
B Asking a family member to stay with the patient to provide reorientation.
C Attempting other less restrictive interventions, such as redirection or reorientation.
D Administering a sedative medication as prescribed for agitation.

✓ Correct Answer: Option C

Before applying restraints, the nurse must exhaust all less restrictive interventions, such as reorientation, distraction, moving the patient closer to the nursing station, or involving family, to ensure safety while preserving autonomy.

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