The nurse is caring for an older adult client who sustained a closed head injury approximately 4 hours ago.At the time of the injury,the client denied any pain or other symptoms.Which statement by the client would cause the MOST concern to the nurse?

Question

Quizplus · Accepted Answer

A statement indicating confusion or disorientation, such as not recognizing the nurse or questioning why they are being asked their name, is a sign of potential deterioration in mental status following a head injury. This could indicate a serious complication such as a brain bleed or increased intracranial pressure, which requires immediate attention.

The Nurse Is Caring for an Older Adult Client Who