Mr. Gonzalez is an 81 year-old Spanish

Mr. Gonzalez is an 81 year-old Spanish speaking Hispanic male who is recovering on your unit following an ORIF of his right femur. You received in report that Mr. Gonzalez was awake, alert, and oriented X4 prior to surgery but he’s been a little ‘weird’ through the night. When you enter the room to perform your assessment, you find Mr. Gonzalez to be confused, agitated, and calling out to the cat in the corner of his room. How does this new finding influence your nursing assessment? What is the likely cause of Mr. Gonzalez’s new onset of confusion? What risk factors and warning signs will you look for? What interventions can you put in place to ensure Mr. Gonzalez remains safe?

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