The nurse is supervising the care of the patient who is alert but has increased intracranial pressure following head trauma. Which action by the unlicensed assistive personnel (UAP) prompts the nurse to intervene immediately?

The nurse has been caring for a patient who will be discharged home today. Patient has an open wound in his left thigh that has been treated under vacuum. He has advanced COPD and has been requiring oxygen to maintain his oxygen saturation. Patient has been undergoing intravenous antibiotic therapy with vancomycin and piperacillin/tazobactam for a wound infection and has no mobility in his left leg. Which of the following statements is correct concerning the discharge needs of this patient? Select all that apply.

The elderly patient is brought to the ER by ambulance for confusion, slurred speech, and right-sided weakness. Vital signs, including body temperature and blood pressure, are normal. As the patient is waiting for an urgent head CT, the nurse performs which test first?