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    HESI RN EXIT PROCTORED EXAMQuestion 38
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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. The client's healthcare power of attorney is important information but may not be immediately relevant to the client's current clinical status and need for medical intervention. B. Currently prescribed medications are important to know but should not take precedence over the client's acute change in mental status, which requires immediate attention. C. Increasing confusion of the client is the most critical information to report first as it indicates a change in the client's condition and may require urgent evaluation and intervention by the healthcare provider. D. The fall at home as the reason for admission is important background information but should be provided after the current assessment of the client's condition, which includes the increasing confusion.

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