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The Nurse Caring for a 90-Year-Old Patient with a Closed

Question 26

Multiple Choice

The nurse caring for a 90-year-old patient with a closed head injury would immediately report:


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° to 97.6° F

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