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    HESI RN Exit Proctored ExamQuestion 119
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    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. The fall at home is part of the background information, but the immediate concern is the client’s changing mental status. B. The sudden onset of increasing confusion and agitation could indicate a serious complication, such as delirium, infection, or a neurological issue. This is the priority to report to the healthcare provider. C. While medication history is important, it is not as urgent as addressing the client’s current confusion. D. The healthcare power of attorney is relevant for decision-making but not the first information needed in this urgent situation.

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