The nurse notes new onset confusion in an older-adult client in a long-term care facility. The client is normally alert and oriented. In which order should the nurse take the following actions?
A)Obtain the oxygen saturation.
B)Check the client's pulse rate.
C)Document the change in status.
D)Notify the health care provider.

Question

Quizplus · Accepted Answer

Assessment for physiological causes of new onset confusion such as pneumonia, infection, or perfusion problems should be the first action by the nurse. Airway and oxygenation should be assessed first, then circulation. After assessing the client, the nurse should notify the health care provider. Finally, documentation of the assessments and care should be done.

The Nurse Notes New Onset Confusion in an Older-Adult Client