The nurse is caring for an older adult client who sustained a closed head injury approximately 4 hours ago. At the time of the injury, the client denied any pain or other symptoms. Which statement by the client would cause the MOST concern to the nurse?
A. "Who are you? Why do you keep asking me my name?"
B. "I wish the nurses would stop coming in and shining a light in my eyes. It's annoying."
C. "This is so silly. I really don't see why all of this is necessary."
D. "Please let me go home. I will come back if I have any problems."
Answer: A
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Which of the following would be better understood by the nurse after using a family map?
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When administering heparin subcutaneously, the nurse should
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