A home health nurse makes a home visit to a 90-year-old patient who has cardiovascular disease
During the visit the nurse observes that the patient has begun exhibiting subtle and unprecedented signs of confusion and agitation. What should the home health nurse do?
A) Increase the frequency of the patient's home care.
B) Have a family member check in on the patient in the evening.
C) Arrange for the patient to see his primary care physician.
D) Refer the patient to an adult day program.
Ans: C
Feedback:
In more than half of the cases, sudden confusion and hallucinations are evident in multi-infarct dementia. This condition is also associated with cardiovascular disease. Having the patient's home care increased does not address the problem, neither does having a family member check on the patient in the evening. Referring the patient to an adult day program may be beneficial to the patient, but it does not address the acute problem the patient is having, the nurse should arrange for the patient to see his primary care physician.
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