Option D - Inform hospital security personnel of the restraining order and formulate an action plan with security that protects the client is correct. This is the best nursing action to ensure the client's safety.
Placing the client in a reverse isolation room and post an isolation sign on the door restricting visitors will only make the client feel isolated and this does not guarantee client's safety.
Instructing the client that she should put on her call light if her husband enters her room. This doesn't ensure that the client is safe. It doesn't implement safety measures.
Admitting the client to the pediatric unit under an assumed name so that the husband cant find her doesn't ensure her safety as the husband can go into all units searching for her.
Inform hospital security personnel of the restraining order and formulate an action plan with security that protects the client.-rationale: the nurse should inform hospital security personnel about the restraining order and formulate an action plan with security that protects the client. placing the client in a reverse isolation room isolates the client and doesnt incorporate protective measures. instructing the client to use her call light if her husband enters the room may alert hospital staff but doesnt allow for implementation of safety measures. measures should be in place to stop the husband before he enters the clients room. admitting the client to the pediatric unit doesnt protect the client from harm.client needs category: safe, effective care environmentclient needs subcategory: safety and infection controlcognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 675.