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Question
a patient who is postoperative day 1 after hip replacement suddenly becomes agitated and confused and starts pulling off the wound dressing. which action should the nurse take first? click the correct answer and click submit. apply two mitts on the patients hands. call the licensed practitioner for a restraint order. perform a physical assessment of the patient. contact the family about staying with the patient.
In nursing, when a postoperative patient shows sudden agitation and confusion, a physical assessment is crucial first to identify possible causes like pain, hypoxia, or other complications before taking other measures such as restraints or involving family. Applying mitts or getting a restraint order without knowing the cause may not address the root - problem. Contacting the family is important but not the first step.
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C. Perform a physical assessment of the patient.