The nurse is caring for an 82-year-old client who is 1 day postop left hip replacement. The client has a primary IV infusing at 100 mL/hr, a patient-controlled analgesic device, and a urinary catheter. After assessing the client, the nurse determines that the client is pleasant and cooperative but forgetful. In the afternoon, the nurse notes that the client has become increasingly restless. It is most important of the nurse to:
a. apply a vest restraint.
b. notify the physician.
c. check the patient-controlled analgesic device.
d. assess the client’s medical history for dementia.
Rationale:
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