Posted: February 8th, 2018
Upon assessment, the nurse notes flushed skin, diaphoresis above the T5, and a blood pressure of 162/96.
The client reports a severe, pounding headache. Which of the following nursing interventions would be appropriate for this client?. Upon assessment, the nurse notes flushed skin, diaphoresis above the T5, and a blood pressure of 162/96.
The client reports a severe, pounding headache. Which of the following nursing interventions would be appropriate for this client? Select all that apply.
1. Elevate the HOB to 90 degrees
2. Loosen constrictive clothing
3. Use a fan to reduce diaphoresis
4. Assess for bladder distention and bowel impaction
5. Administer antihypertensive medication
6. Place the client in a supine position with legs elevated
Place an order in 3 easy steps. Takes less than 5 mins.