A client admitted the previous day for a suspected neurologic disorder becomes increasingly lethargic. Which is the best nursing action?
a. Promote a quiet atmosphere for sleep and rest to treat the client's sleep deprivation.
b. Explain to the family that this is a normal age-related decline in mental processing.
c. Consult a psychiatrist to treat the client's hospital-acquired depression.
d. Complete a full neurologic assessment and notify the neurologist.
D
A change in the client's level of consciousness (LOC) is the first indication of a decline in central neurologic functioning. The nurse should conduct a thorough assessment and then should notify the neurologist (or other provider). The other interventions are inappropriate.
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