The 82-year-old client who had a total joint replacement today has just been returned to the medical-surgical unit from the postanesthesia recovery unit

Upon initial assessment, the client does not know where he is and does not seem to remember that he has just had surgery. What is the nurse's best action? A. Document the observation as the only action.
B. Hold all medications for pain or sedation.
C. Reorient the client at every interaction.
D. Notify the surgeon immediately.


C
Many older adult clients experience a temporary change in mental state immediately after surgery as a result of the anesthetic and unfamiliar sensory stimuli. This is not a pathologic reaction and the best action is to reorient the client frequently.

Nursing

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Nursing