Change the italicized group of words into the element indicated at the end of the sentence. Then rewrite the sentence.

Confused by the sign, the driver made the wrong turn. -or- The driver, confused by the sign, made a wrong turn.

what "element"?

both versions are syntactically acceptable.

oh -- I would say that, lacking further context, "a wrong turn" is better.

To change the italicized group of words into the indicated element, we need to transform "Confused by the sign" into an introductory participial phrase.

The sentence can be rewritten as:
"Confused by the sign, the driver made the wrong turn."

To change the italicized group of words into an element at the end of the sentence, we need to rewrite the sentence accordingly.

Original sentence: Confused by the sign, the driver made the wrong turn.
Revised sentence: The driver made the wrong turn, confused by the sign.