Multiple Choice
A client with blunt head injury is admitted for observation, including hourly neurologic checks. At 01:00 AM, the client reports a headache; the nurse obtains a normal neurologic assessment and administers the PRN acetaminophen. At 02:00 AM, the client appears to be sleeping. Which action should the nurse take?
A) Arouse the client and ask what the current month is
B) Document "relief apparently obtained" and recheck at 03:00 AM
C) Let the client sleep but verify respiratory rate
D) Wake the client up and check for paresthesia
Correct Answer:
Verified
Correct Answer:
Verified
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