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How does the nurse manage a patient with altered mental status?
Asked on Dec 05, 2025
Answer
Managing a patient with altered mental status involves a systematic approach to ensure patient safety and identify underlying causes. This includes performing a thorough assessment, implementing safety precautions, and collaborating with the healthcare team for further evaluation and treatment.
Example Nursing Steps:
- Step 1 – Conduct a focused neurological assessment, including level of consciousness, orientation, and vital signs.
- Step 2 – Ensure patient safety by implementing fall precautions and maintaining a safe environment.
- Step 3 – Document findings and communicate with the healthcare team for further evaluation and intervention.
Additional Comment:
- Altered mental status can be caused by various factors such as hypoxia, infection, metabolic imbalances, or medication effects.
- Use the Glasgow Coma Scale (GCS) to assess and document the patient's level of consciousness.
- Prioritize ABCs (Airway, Breathing, Circulation) when assessing and managing the patient.
- Monitor for any changes in mental status and escalate care if the patient’s condition deteriorates.
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