PN Comprehensive Predictor PN 2020 Proctored Exam
A nurse is caring for a newly admitted older adult client. Nurses' Notes Day 1, 12:00: Transferred to the medical-surgical unit from the emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by an adult child. Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area. The client is soft-spoken, speaks almost in a whisper, and does not make eye contact with the nurse. The client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles "I don't know. Ask them." The client's child states, "He gets confused sometimes. I can answer your questions." Which of the following interventions should the nurse recommend to include in the client's plan of care? Select all that apply.
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