HESI RN Exit VI Proctored Exam
An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to obtain?
Explanation & Rationale
A. While the medication history can be relevant, it is not the most immediate assessment needed to address the confusion and possible infection.B. The amount of serous drainage is important for wound assessment but does not directly address the cause of confusion.C. Urinary output is useful for evaluating kidney function but may not be directly related to the client’s confusion and wound.D. The white blood cell count is crucial for identifying an infection or inflammatory response, which could be related to both the confusion and the wound.
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