The patient is brought to the emergency department (ED) after hitting their head during a fall. The patient does not arouse when their name is called, but opens the eyes and attempts to remove the hand that is pinching him. Once aroused, the patient responds with, “Bubble,” when asked what year it is. The nurse records the patient’s mental status using the Glasgow Coma Scale as which number? Enter your response using a whole number.

The nurse is supervising the care of a patient with a stage II pressure injury on the coccyx. Which intervention by the student nurse prompts the nurse to intervene with further education?

The 38-year-old patient has increased intracranial pressure following a massive stroke. Select the vital signs that together indicate the patient is at an immediate risk for brainstem herniation.