A client has a traumatic brain injury.The nurse assesses the following: pulse change from 82 to 60 beats/min,pulse pressure increase from 26 to 40 mm Hg,and respiratory irregularities.What action by the nurse takes priority?
A) Call the provider or Rapid Response Team.
B) Increase the rate of the IV fluid administration.
C) Notify respiratory therapy for a breathing treatment.
D) Prepare to give IV pain medication.
Correct Answer:
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