NursingPlex
    Sign In
    HESI LPN Exit Exam IV Proctored Exam

    An older adult client who was admitted to a long-term care facility yesterday is confused about what day of the week it is. The history does not indicate that the client was confused prior to admission. Which action should the practical nurse (PN) take?

    Explanation & Rationale

    A. Documenting the client's loss of memory is important for ongoing assessment, but it is not the immediate action to take when the client is confused about the day of the week. B. Reminding the client of the day of the week is a direct intervention to help orient the client, which is a primary approach for managing acute confusion or disorientation. C. Notifying the family of the change in the client’s condition may be necessary if confusion persists or worsens, but initial steps should focus on immediate management of the confusion. D. Encouraging the client to rest is a general supportive action but does not address the specific issue of confusion about the day of the week.

    🔒 Submit your answer to reveal