A client who is being assessed by the nurse is ill and confused. In order to check the client's normal level of consciousness (LOC), the nurse should:
1. ask the client to repeat words.
2. ask the client to speak her name.
3. ask the family the information.
4. have the client walk a straight line.
Answer: 3
1. If the client is ill and confused, the client might not be able to repeat words.
2. Confusion might prevent the client from speaking her own name.
3. To get a baseline normal LOC for the client, it might be necessary to ask the client's family or escort to describe what is usual for the client.
4. When confused, the client might not be able to follow directions.
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