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    HESI RN EXIT PROCTORED EXAMQuestion 86
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    HESI RN EXIT PROCTORED EXAM

    An older adult client with a history of heart failure is admitted to the medical unit after falling at home and has become increasingly confused. The client's spouse is designated as the client's power of attorney. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

    Explanation & Rationale

    A. Client's healthcare power of attorney: While important, this information may not be immediately relevant to the client's current condition and the reason for contacting the healthcare provider. B. Increasing confusion of the client: This information indicates a change in the client's status and is the most pertinent to the client's current condition, warranting immediate attention. C. Fall at home as reason for admission: While important for background information, the reason for admission is already known, and the focus of the communication should be on the client's current status. D. Currently prescribed medications: This information is important but may not be the priority when reporting a change in the client's condition.

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