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    Ati med surg gerontology proctored exam
    Select All That Apply

    The nurse has reviewed the Nurses' Notes, and Graphic Record at 0730 and Exhibits Which of the 3 following findings indicate an improvement in the client's condition?

    Explanation & Rationale

    A. Appetite: The client ate only 10% of breakfast and reports no appetite, indicating no improvement in nutritional intake. Poor appetite remains a concern, as it can delay recovery and affect strength. B. Wandering: There is no indication that wandering behavior has decreased, so this finding does not show improvement. C. Sleep/wake cycle: The client’s ability to fall asleep around 0530 and sleep until 0900 indicates an improvement in the sleep-wake cycle. Previously, the client was awake and restless throughout the night, experiencing nightmares and agitation. D. Blood pressure: The blood pressure has improved from previous low readings (e.g., 90/58 mm Hg) to 115/58 mm Hg at 0900, indicating better hemodynamic stability. This improvement suggests the client’s cardiovascular status is stabilizing. E. Daytime orientation: At 0900, the client is oriented x3 (person, place, time) compared to previous disorientation and confusion during the night. This improvement in cognitive status reflects resolving delirium or acute confusion, signaling progress in neurological function.

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