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Jocenta Jocenta
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7 years ago
The nurse is caring for a patient recovering from surgery to evacuate an epidural hematoma. Which assessment finding would warrant immediate collaboration with the surgeon?
1. Urine output has dropped from 100 mL each hour to 60 mL per hour.
2. The patient’s hand grasps are weak bilaterally.
3. Fine crackles can be auscultated in the lung bases bilaterally.
4. The pupil on the side of the injury has become fixed and dilated.
Textbook 
High-Acuity Nursing

High-Acuity Nursing


Edition: 6th
Authors:
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pregmatchpregmatch
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7 years ago
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