The patient was admitted to the critical care unit following a fall from a balcony. Emergency responders were unable to adequately ventilate the patient until arrival at the emergency department. The patient has been unresponsive since the fall and is now receiving mechanical ventilation and continuous intracranial pressure monitoring. The nurse assesses for signs of which complications in this patient? Select all that apply.

The patient in heart failure exhibits the following respiratory pattern. The nurse uses which term to document the patient’s respiratory effort?

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.