Patient Data Which should the nurse do as the client becomes more aware of her surroundings? Select all that apply.

A. Have the client sign consent forms for procedures already performed: Consent must be obtained before a procedure unless it’s an emergency. Signing after the fact is not valid and serves no legal or clinical purpose. B. Assess the client's pain: As the client becomes more alert, pain assessment is essential. She may now be able to report discomfort, and timely pain management is critical for trauma recovery and comfort. C. Decrease the noise and light stimuli in the room as much as possible: Reducing environmental stimuli can help prevent agitation, confusion, and sensory overload as the client becomes more aware. This is especially important in the ICU setting. D. Explain all procedures: Providing explanations promotes trust and reduces anxiety. As the client regains awareness, clear communication supports orientation and psychological comfort during care. E. Consider extubating the client: Extubation decisions are made based on respiratory stability, not solely on alertness. The client’s respiratory parameters and readiness criteria must be met before considering extubation. F. Notify the social worker the client is awake: While eventual involvement is important, awakening does not require immediate social work notification unless related to emotional distress or decision-making. G. Increase the propofol infusion: Increasing sedation is not appropriate unless the client is agitated or in distress. As the client wakes appropriately, sedation should be weaned, not increased. H. Determine the client's decision-making ability: As the client becomes more alert, evaluating her ability to understand and make decisions is appropriate. This helps guide future consent and care planning.