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’s father is observed pressing the patient’s patient-controlled analgesia (PCA) pump while the patient is asleep. The nurse attempts to arouse the patient, who only opens the eyes after being pinched. Once aroused, the patient is able to raise the hand upon request. When asked what the year is, the patient responds with the previous year. The nurse reports the patient’s condition to the provider with which number on the Glasgow Coma Scale? Enter your response using a whole number.

A patient presents to the emergency department in diabetic ketoacidosis. The nurse is aware that which intervention is the priority?