Evolve HESI Practice Exam

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What is the primary concern when a patient has a decreased level of consciousness regarding orientation?

Safety
Medication management
Nutritional intake
Comfort

The correct answer is: Safety

When a patient presents with a decreased level of consciousness, safety becomes the foremost concern due to the increased risk of accidents, falls, or self-harm. Orientation is crucial for patients to understand their surroundings, the situation they are in, and to respond appropriately to stimuli. A patient who is not fully alert or aware is at a heightened risk for engaging in unsafe behaviors or experiencing disorientation-related incidents, such as wandering or misunderstanding medical instructions. While other concerns, such as medication management, nutritional intake, and comfort, are important in the overall care of the patient, they become secondary to ensuring the patient's immediate safety. Addressing safety first allows healthcare professionals to stabilize the patient’s condition before paying attention to other aspects of their care. Prioritizing safety in patients with impaired consciousness is essential to prevent adverse events and ensure a secure environment.