Chest x-ray: Consolidation in the right lower lobe consistent with pneumonia Review H and P, nurse’s notes, flow sheet, doctor’s order, and Imaging studies.
What statements indicate the client’s confusion is resolving?
Select all that apply.
A.
Asks how long he has been in the hospital
B.
Drinking broth
C.
States he is hungry
D.
Clawing at the air
E.
Keeps trying to get out of bed to find the swimming pool
F.
Recognizes his daughter
G.
Oriented to time, place, and self
H.
Oxygen saturation on 0.5L of 100%
The correct answer and Explanation is :
To determine which statements indicate the client’s confusion is resolving, we need to identify signs of improved cognitive function and awareness. Here’s an analysis of each statement:
A. Asks how long he has been in the hospital
This suggests a level of awareness and concern about his situation, which could indicate some improvement in cognitive function. However, it is not as definitive as other signs.
B. Drinking broth
This indicates that the patient is able to consume fluids, which suggests some improvement in overall condition but doesn’t specifically indicate resolution of confusion.
C. States he is hungry
Hunger and the ability to express it can be a sign of returning cognitive function, as the patient can recognize and communicate basic needs.
D. Clawing at the air
This behavior suggests ongoing confusion or agitation, rather than improvement. It is indicative of a lack of orientation or possibly delirium.
E. Keeps trying to get out of bed to find the swimming pool
This indicates disorientation and confusion, suggesting that the patient’s cognitive function has not yet improved.
F. Recognizes his daughter
Recognizing familiar people is a strong indicator that cognitive function is improving. It demonstrates that the patient has regained some level of awareness and memory.
G. Oriented to time, place, and self
This is a clear sign that confusion is resolving. Orientation to time, place, and self is a critical aspect of cognitive function, and being oriented in these areas indicates significant improvement.
H. Oxygen saturation on 0.5L of 100%
While stable oxygen saturation levels are important for overall health, they do not directly indicate the resolution of confusion. It is more a measure of respiratory status.
Correct Answers:
- F. Recognizes his daughter
- G. Oriented to time, place, and self
Explanation:
The resolution of confusion is marked by the patient’s ability to recognize familiar individuals (such as his daughter) and being oriented to time, place, and self. These cognitive functions are key indicators of improved mental clarity and awareness. In contrast, behaviors such as clawing at the air or attempting to find a swimming pool indicate ongoing confusion and disorientation. Recognizing needs or desires (such as being hungry) can be part of the improvement, but the most concrete evidence of resolving confusion is the orientation and recognition of familiar people.