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S_leve3 S_leve3
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Posts: 3311
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9 years ago
The nurse is caring for a client who was admitted following a fight. The client had several direct blows to the face. The assessment reveals normal blood pressure (BP), elevated pulse (P-108), elevated respiratory rate (RR-24), and obvious deformity to the right side of the face. The most important priority for client care is:     

A) Monitor the elevated pulse rate and look for signs of pallor.
B) Monitor the elevated respiratory rate and maintain the airway.
C) Frequently assess the blood pressure for signs of shock and initiate IV fluids.
D) Frequently assess for facial pain and administer pain medication prn.
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milestone23milestone23
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9 years ago
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