When caring for older adults with respiratory ailments, why is it imperative that the nurse carefully assess a client who demonstrates restlessness or confusion?
A) To determine whether the ailment is causing respiratory acidosis
B) To perform appropriate client education and health promotion
C) To calculate the amount of oxygen that needs to be administered
D) To differentiate signs of inadequate oxygenation from early signs of delirium
D
Feedback:
In elderly clients, the signs of inadequate oxygenation, such as restlessness or confusion, can resemble the early signs of delirium. Therefore, it is important for the nurse to carefully assess clients demonstrating these symptoms. Determining the cause of inadequate oxygenation, selecting an oxygenation technique, and calculating the amount of oxygen that needs to be administered are of secondary importance.
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