The Nurse Is Caring for a Patient Who Is Recovering

question 20

Multiple Choice

The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except location. Which nursing intervention will the nurse add to the care plan to reduce confusion?

• A) Keep a day-by-day calendar at the patient's bedside.
• B) Place a patient observer in the patient's room for safety.
• C) Assess the patient's level of consciousness and document every 4 hours.
• D) Prepare to discharge once the patient is awake, alert, and oriented.

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Definitions:

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