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    HESI PN EXIT Proctored Exam 2
    Select All That Apply

    Chest x-ray: Consolidation in the right lower lobe consistent with pneumonia Review H and P, nurse's notes, flow sheet, doctor's order, and Imaging studies. What statements indicate the client's confusion is resolving? Select all that apply.

    Explanation & Rationale

    Statements indicating the client's confusion is resolving: a. Asks how long he has been in the hospital: Rationale: Asking questions about their surroundings and current situation is a sign of improved cognitive function and awareness. Confusion often leads to disorientation and a lack of understanding of the present circumstances. b. Drinking broth: Rationale: While not a direct indicator of mental clarity, improved oral intake can suggest a decrease in overall fatigue and illness severity, which can contribute to confusion. Additionally, following instructions and cooperating with care, like accepting fluids, demonstrates some level of understanding and engagement. c. States he is hungry: Rationale: Similar to rationale b, verbalizing needs and responding to internal cues like hunger suggests improved cognitive function and awareness of one's body. Confusion can often manifest as apathy or withdrawal from basic needs. f. Recognizes his daughter: Rationale: Recognizing familiar faces and family members is a strong indicator of improved orientation and cognitive function. Confusion often disrupts the ability to identify and interact with known individuals. g. Oriented to time, place, and self: Rationale: Orientation to time, place, and person is the gold standard for assessing mental status and cognitive function. Confusion typically impairs one's ability to accurately identify these aspects of their surroundings and themselves. h. Oxygen saturation on 0.5L of 100%: Rationale: While not directly related to mental clarity, improved oxygenation due to effective respiratory support can indirectly contribute to resolving confusion. Hypoxia, a lack of adequate oxygen to the brain, can significantly impair cognitive function and mental state. Other statements: d. Clawing at the air: This is a sign of agitation and distress, potentially indicating worsening confusion or respiratory distress. e. Keeps trying to get out of bed to find the swimming pool: This disoriented behavior and hallucinations suggest worsening confusion and possible delirium. Therefore, the correct statements indicating the client's confusion is resolving are a, b, c, f, and g.

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