Nutrition, elimination, comfort, and safety are the major areas of importance.
The diet should be high in protein with adequate fluids.Basic Care and Comfort

LOC is the most critical indicator of impaired neurological capabilities.

Section: Safe and Effective Care Environment
Explanation:
The shunt may be blocked and require immediate medical attention.

The client needs to learn how to communicate directly with his wife about her behavior. The nurse's assistance enables him to practice a new skill and communicates confidence in his ability to confront this situation. Choices 1 and 2 inappropriately direct attention away from the clientand toward his wife, who isn't present. Choice 4 implies that there might be a legitimate reason for the nurse to assume responsibility for something that rightfully belongs to the client. Instead of focusing on his problems, he'll waste precious time convincing the nurse that he or she should do his work.Psychosocial Integrity

Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. Choices 1, 2, and 4 are incorrect. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making.
Coordinated Care