An older adult is transferred to the hospital with anorexia, nausea, vomiting, and confusion. The client was prescribed digoxin (Lanoxin) 0.25 mg, furosemide (Lasix) 40 mg, and potassium chloride (Micro-K) 10 mEq 3 months ago. Which action should be taken first?

A. Administer a prescribed dose of digoxin immune fab (Digibind).
B. Administer the doses of any home medications not yet taken that day.
C. Apply a cardiac telemetry monitor.
D. Complete a neurological assessment.

Given the symptoms of anorexia, nausea, vomiting, and confusion in the older adult, it is important to prioritize the interventions. In this case, the first action should be to complete a neurological assessment (Option D).

Explanation:

Given the symptoms of anorexia, nausea, vomiting, and confusion in the older adult, it is important to prioritize the interventions. In this case, the first action should be to complete a neurological assessment (Option D). This will help identify any underlying neurological issues that may be causing the symptoms. The other options, such as administering Digibind, administering home medications, or applying a cardiac telemetry monitor, may be necessary interventions but should be done after completing the neurological assessment.