An Elderly Patient Who Has Been in the ICU for a Week

question 31

Multiple Choice

An elderly patient who has been in the ICU for a week is preparing for transfer to the step-down unit when the nurse notices that the patient has new-onset restlessness and confusion. The patient's physiologic status is stable and otherwise unchanged. The nurse should

• A) inform the receiving nurse and proceed with the transfer.
• B) notify the health care provider and postpone the transfer.
• C) administer PRN lorazepam (Ativan) and proceed with the transfer.
• D) obtain an order to restrain the patient and proceed with the transfer.