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A patient sustained a C4 spinal cord injury 3 weeks ago. This morning the patient's BP is 204/110, ...

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A patient sustained a C4 spinal cord injury 3 weeks ago. This morning the patient's BP is 204/110, ...

A patient sustained a C4 spinal cord injury 3 weeks ago. This morning the patient's BP is 204/110, heart rate is 45, and the patient is complaining of a headache. What should the nurse do? (Select all that apply.)
1. Administer antihypertensive medications immediately.
2. Encourage the patient to rest and plan to recheck blood pressure in 30 minutes.
3. Elevate the head of the bed.
4. Check for a source of noxious stimuli.
5. Order a stat 12-lead ECG.

Textbook

High-Acuity Nursing

Edition: 6^th

Authors: Wagner, Hardin-Pierce

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