Multiple Choice
The nurse is caring for a patient from a rehabilitation center with a preexisting complete cervical spine injury who is complaining of a severe headache.The nurse assesses a blood pressure of 180/90 mm Hg,heart rate 60 beats/min,respirations 24 breaths/min,and 50 mL of urine via indwelling urinary catheter for the past 4 hours.What is the best action by the nurse?
A) Administer acetaminophen as ordered for the headache.
B) Assess for a kinked urinary catheter and assess for bowel impaction.
C) Encourage the patient to take slow, deep breaths.
D) Notify the provider of the patient's blood pressure.
Correct Answer:
Verified
Correct Answer:
Verified
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