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An Elderly Patient Who Has Been in the ICU for a Week

Question 31

Multiple Choice

An elderly patient who has been in the ICU for a week is preparing for transfer to the step-down unit when the nurse notices that the patient has new-onset restlessness and confusion. The patient's physiologic status is stable and otherwise unchanged. The nurse should


A) inform the receiving nurse and proceed with the transfer.
B) notify the health care provider and postpone the transfer.
C) administer PRN lorazepam (Ativan) and proceed with the transfer.
D) obtain an order to restrain the patient and proceed with the transfer.

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