the nurse and unlicensed assistive personnel are

the nurse and unlicensed assistive personnel are caring for an older client who was admitted to a short term rehabilitation facility 2 weeks ago following a total hip replacement surgery. The client has sudden onset of confusion, agitation and refusing physical therapy. Which actions should the nurse take.(select all that apply) 1 determine if the client has recently experienced a fall 2 instruct the UAP to check the clients’ temperature 3 ask if client is experiencing any pain with urination 4 review the client’s current food and medication allergies 5 encourage increasing the intake of high protein foods

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