The patient who has severely elevated intracranial pressure following a traumatic brain injury is intubated, sedated, and chemically paralyzed. Which intervention does the nurse include in the plan of care?

During hourly rounding assessment of the patient with a chest tube for treatment of a pneumothorax, the nurse notes the patient’s chest and neck are markedly more edematous than on previous assessment. Upon palpation, crepitus is noted. Which action does the nurse take first?

The G2P1 patient who is 33 weeks pregnant is brought via ambulance to the emergency department due to significant vaginal bleeding and abdominal pain. Which action does the nurse take first?