A client who had a subarachnoid hemorrhage is being monitore…
A client who had a subarachnoid hemorrhage is being monitored in the ICU. The nurse observes the following on assessment:Glasgow Coma Scale (GCS) score of 11 (Eye response 3, Verbal response 3, Motor response 5)Blood pressure of 185/95 mmHgHeart rate of 120 bpmRespiratory rate of 18 breaths/minMild headacheWhich information is most important to communicate to the healthcare provider?
Read DetailsA nurse caring client presents to the ED with chest pain 7/1…
A nurse caring client presents to the ED with chest pain 7/10 and nausea. The ECG shows T wave inversion in the inferior leads, and troponin I is elevated. Which statement is correct regarding cardiac catheterization in NSTEMI client?
Read DetailsA client on mechanical ventilation is receiving care to prev…
A client on mechanical ventilation is receiving care to prevent ventilator-associated pneumonia (VAP). During assessment, the nurse notes visible secretions in the endotracheal tube, wheezing in the upper lung fields, and an oxygen saturation of 92%. Which priority action should the nurse take?
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