Which assessment at the beginning of the shift of the patient with a recent head injury requires the most immediate action?

Unresponsive to painful stimuli. The unresponsive patient may be experiencing circulatory collapse; therefore, further assessment of patient condition is required. Although a heart rate of 43 bpm is low, the patient’s blood pressure is adequate. The presence of a service animal in the patient’s bed may require intervention depending upon the hospital’s policy, but this is a low priority comparatively. A low oxygen saturation will require intervention, but an oxygen saturation of 87% is not life-threatening.

Which assessment at the beginning of the shift of the patient wit...

Category: Management of Care
Difficulty: 7

Topics: Delegation, Prioritization and Leadership Respiratory Cardiovascular Assessment Neurology

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