A 78-year-old client who has undergone a hip replacement is in the first postoperative day and has been recovering well, but when the nurse does an hourly round, she finds the client exhibiting sudden onset of acute change in mental status. He is agitated and disoriented, and his speech is rambling at times, but symptoms are fluctuating.When discussing the assessment with the nurse, the CNL suggest that the nurse administer the

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CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures.  To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization.... Show more

A 78-year-old client who has undergone a hip replacement is in the first postoperative day and has been recovering well, but when the nurse does an hourly round, she finds the client exhibiting sudden onset of acute change in mental status. He is agitated and disoriented, and his speech is rambling at times, but symptoms are fluctuating.<br>When discussing the assessment with the nurse, the CNL suggest that the nurse administer the






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