medium · NCLEX-RN Management of Care

An off-duty RN is treating a victim of an assault in an alley. The victim is bleeding from the head and is becoming increasingly combative.

What is the safest action for the RN?

  1. Withdraw to a safe distance and wait for police to secure the scene, for this client.
  2. Perform a rapid neurologic check to see if the combativeness is due to a head injury
  3. Continue treatment while speaking in a firm, loud voice to command the victim's attention
  4. Ask a bystander to help restrain the victim's arms so you can finish the assessment

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