Hesi RN 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
A. While the fall at home provides background information, it is not the immediate concern for the healthcare provider regarding the current change in the client's status. B. The increasing confusion of the client is the most critical and urgent information that should be communicated first, as it indicates a potential change in the client's neurological status. C. The client's healthcare power of attorney is important but not relevant to the immediate medical situation. D. While understanding the currently prescribed medications is useful, it does not take precedence over addressing the client's acute change in mental status.
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