What should be immediately reported by the nurse caring for a 90-year-old patient with a closed head injury?
A) Blood pressure change from 147/72 to 176/70-mm Hg
B) Respiration rate increase from 14 to 18 breaths/min
C) Slow pupillary reaction bilaterally
D) Temperature decrease from 100.2 F to 97.6 F
Correct Answer:
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