The Nurse Wakes the Client During Evening Shift for a Focused

question 2

Multiple Choice

The nurse wakes the client during evening shift for a focused assessment.The client, trying to rest, tells the nurse, "I really need to sleep.Can you tell me why you need to wake me up so often?" Which response by the nurse explains the purpose of the assessment?

• A)"Most clients don't understand the schedule we keep in the hospital."
• B)"I understand your frustration, but this has been ordered by your physician."
• C)"I do a head-to-toe assessment so that I can determine if there are any changes in your condition."
• D)"Because you were just started on a medicine, I need to check your blood pressure more frequently."

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