A client with a neurologic deficit has been admitted to your unit. The nurse caring for the client is assessing the client and observes significant changes in the client's status. Which of the following action should the nurse perform immediately?
A) Use the Glasgow Coma Scale.
B) Use the Mini-Mental Status Examination.
C) Report the change to the physician.
D) Monitor the blood pressure.

Question

Quizplus · Accepted Answer

Any significant changes in a client's condition should be reported immediately to the physician in order to provide prompt intervention and prevent further complications. The Glasgow Coma Scale and Mini-Mental Status Examination may be used to assess the client's level of consciousness and cognitive function, but they do not address the immediate need for intervention when there are significant changes in a client's status. Monitoring the blood pressure is also important, but it should not take priority over reporting significant changes to the physician.

A Client with a Neurologic Deficit Has Been Admitted to Your