The home health nurse is making an 8:00 AM visit to a confused older patient who lives with a daughter. Which information most indicates a need for further action by the nurse?

Question

Quizplus · Accepted Answer

A change in physical status may indicate an acute medical problem such as infection or elder abuse or neglect. Inability to remember caregiver names is not unusual in confused patients and simply indicates a need for reintroduction by the nurse. Because it is early in the day, the patient may take the medications later. The question about respite services does indicate a need for further action, but this would not be as urgent as the need to assess the patient for physiologic changes.

The Home Health Nurse Is Making an 8:00 AM Visit