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    HESI Compass exit proctored exam

    A client who received an open reduction and internal fixation (ORIF) of the right femur after experiencing a fall at home experiences a sudden onset of increasing confusion and agitation. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

    Explanation & Rationale

    Choice A reason: The healthcare power of attorney is important but not the first piece of information to report in this acute situation.Choice B reason: The reason for admission provides context but is secondary to the current critical issue.Choice C reason: Increasing confusion is the immediate concern that needs to be addressed first in the SBAR report.Choice D reason: Currently prescribed medications are relevant but come after addressing the acute change in the client's condition.

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