A nurse is concerned about her older adult client who has had a change in her mental status from earlier in the day. Which is the MOST appropriate first action for the nurse to take?
a. Allow the client to sleep before taking any action.
b. Call the physician to alert him or her about the change in status.
c. Review all the medications that the client is taking and complete an assessment of the clients vital signs.
d. Continue to monitor the client for changes.
a. Allow the client to sleep before taking any action.
FEEDBACK:
a. Allowing the client to sleep without taking other action could be dangerous.
b. Calling the physician is an appropriate action, but not the most appropriate. .
c. It is appropriate to review all the medications that the client is taking, as older adult clients may experience dangerous cumulative effects of medication due to many physiologic changes associated with associated comorbidities and age. The nurse also needs to assess the patient prior to calling the provider.
d. Continuing to monitor the client for changes is essential but not the MOST appropriate. .
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