A home health nurse visits a pleasant, independent 89-year-old female. At her appointment, the patient appears confused and agitated and has difficulty answering questions. The patient’s vital signs are normal. Which of the following is the most appropriate nursing action?
Ask the patient to give a detailed history of her day to identify the underlying cause for her altered mental status.
Since the patient’s vital signs are normal, schedule another home-health appointment within 12 hours to see the patient again.
Make arrangements for the patient to be evaluated by her primary healthcare provider, and stay with her until she is seen to ensure her safety.
Call 911 and have the patient evaluated by EMS.
Be alert for words like better, best, most, main, major, and primary/primarily in questions. They indicate that there might be other answers that could work, but the correct answer is the one that is the best of the choices given.
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