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    HESI RN EXIT 1 PROCTORED EXAM

    An older client admitted for observation following a fall while getting out of the bath tub becomes increasingly confused. The family arrives with the home medication list and the client's healthcare power of attorney. When providing a report 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 - This is important legal information but not the most immediate concern for the healthcare provider. B. Currently prescribed medications - While important, this information does not represent an immediate change in the client's condition. C. Fall at home as reason for admission - This is background information and, although important, is not the most pressing issue if the client's condition is worsening. D. Increasing confusion of the client - The increasing confusion could indicate a change in the client's baseline mental status, which could be a sign of a serious condition such as a subdural hematoma or infection and should be communicated immediately.

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