A nurse is assigned to a 75-year-old patient with head trauma secondary to falling down the stairs at home. The patient is stable initially, complaining of headache and some dizziness, but no focal neurologic signs. That evening, the patient acutely becomes altered and rapidly loses consciousness. Which of the following most likely explains this patient’s condition?

The patient presents with a blood pressure of 135/95 mm Hg and appears jaundiced. She has a history of alcoholism, cirrhosis, and untreated hepatitis C. While the oncoming nurse is receiving report, the patient begins vomiting a large amount of blood. The nurse knows which to be the most likely cause of the patient’s hematemesis?

The patient has a peripherally inserted central catheter (PICC) for the long-term administration of parenteral nutrition, oxacillin, and gentamicin. Which assessment findings, if present in the patient, indicate the patient is experiencing a complication of the PICC line? Select all that apply.