An older adult who was independent develops sudden confusion after receiving a sedative medicine. The patient is drowsy, inattentive, and disoriented. Which action should the nurse take first?
Correct answer: B. Assess airway, breathing, circulation, and level of consciousness
- A. Document the change as expected dementia
- B. Assess airway, breathing, circulation, and level of consciousness
- C. Encourage the patient to sleep without further assessment
- D. Begin memory-training activities immediately
Explanation
Sudden altered consciousness after a medicine may indicate delirium or excessive sedation and requires an immediate safety and ABC assessment. It should not be labelled dementia without investigating the acute cause.
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About Mental Health of Children and Older Adults
Mental health care for children and older adults requires age-appropriate assessment, communication, family involvement, and recognition of developmental changes. Coverage includes ADHD, autism spectrum disorder, childhood anxiety and depression, dementia, delirium, late-life depression, suicide risk, and the distinction between normal aging and cognitive disorder.
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