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What Should Be Immediately Reported by the Nurse Caring for a 90-Year-Old

Question 2

Multiple Choice

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 °\degree F to 97.6 °\degree F

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