A client had an embolectomy for an arteriovenous malformation (AVM).The client is now reporting a severe headache and has vomited.What action by the nurse takes priority?

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This client may be experiencing a rebleed from the AVM.The most important action is to call the Rapid Response Team as this is an emergency.The nurse can assess vital signs while someone else notifies the Team,but getting immediate medical attention is the priority.Administering pain medication may not be warranted if the client must return to surgery.The optimal position for the client with an AVM has not been determined,but calling the Rapid Response Team takes priority over positioning.

A Client Had an Embolectomy for an Arteriovenous Malformation (AVM)