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The nurse is caring for a patient with a head injury.Over a time span of 30 minutes,the nurse observes the following vital signs changes: temperature from 97° to 98° F; pulse from 86 to 78 beats/min; respirations from 18 to 14 breaths/min; and blood pressure from 140/86 to 150/82.Which action is most important for the nurse to take?
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