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The Nurse Admits a Patient to the Critical Care Unit

Question 2

Multiple Choice

The nurse admits a patient to the critical care unit following a motorcycle crash.Assessment findings by the nurse include blood pressure 100/50 mm Hg,heart rate 58 beats/min,respiratory rate 30 breaths/min,and temperature of 100.5°.The patient is lethargic,responds to voice but falls asleep readily when not stimulated.Which nursing action is most important to include in this patient's plan of care?


A) Frequent neurological assessments
B) Side to side position changes
C) Range of motion to extremities
D) Frequent oropharyngeal suctioning

Correct Answer:

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