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Original Question

Question 11 Exhibit 2 A nurse is caring for a client. Nurses’ Notes 0800: Client is alert and oriented to person, place, and time. Client reports headache. Pupils are equal and reactive at 3mm. hand grasps are strong and equal. 1200: Client is restless, agitated, and unresponsive to verbal commands. Pupils are reactive at 5 m. client has vomited. Glasgow Coma Scale score 9. A nurse is reviewing the client’s medical record. After reviewing the medical record. Which of the following actions should the nurse plan to take? For each potential provider’s prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. Elevate the head of the bed Assist the client to the bathroom Encourage the client to cough Initiate seizure precautions Decrease oxygen to 1.5 L/min via nasal cannula Keep the client’s head in a midline position

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