A Nurse Aide Working in the Geriatric Unit's Dining Room

Multiple Choice

A nurse aide working in the geriatric unit's dining room tells the nurse that a client who was oriented to time and place this morning is now confused about what day it is and why she's "here." The nurse appropriately directs the nurse aide to:

A) take the client back to her room and put her safely in bed.
B) place a falls risk identification bracelet on the client and add the status to the Kardex.
C) immediately take the client's vital signs and report them to her.
D) reorient the client to time and place frequently and document the client's response.