C. R. is more confused and agitated than usual, according to his wife. His chest X-ray results are available and C. R. has been diagnosed with pneumonia. His fever is lower than on admission, and he is on supplemental oxygen and antibiotics. What effect might this diagnosis have on his cognitive status? The day shift nurse has completed an assessment of C. R. His wife is at bedside and states that she usually takes him to the bathroom every 2 to 3 hours to try to maintain continence during the day. After analysis of the cues from assessment of C. R., the nurse recognizes that the patient is at risk for falls. Which cues led the nurse to this hypothesis? Using Chronic Confusion as the priority nursing diagnosis for C. R, prioritize 2 other nursing diagnoses pertinent to his current status. The nurse is planning care for C. R. for the day shift. The nurse is concerned about the patient’s increased confusion and agitation, coupled with the history of wandering. In the care plan, the nurse includes nursing actions designed to keep C. R. safe while in the hospital. What nursing actions can be taken to plan care for C. R.’s safety? A visually impaired diabetic patient states that he has lost the call light. What is the next action the nurse should take? a. Clip the call light closer to the patient. b. Tell the patient that the call light is clipped to the bed. c. Describe the call light location; then, take the patient’s hand and guide it to that location. d. Instruct the patient to verbally call for a staff member because “someone is always nearby.”
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[Expert Solution]: C. R. is more confused and…