The Nurse Is Caring for a Client with a Head

question 28

Multiple Choice

The nurse is caring for a client with a head injury intubated and placed on a mechanical ventilator. When monitoring the client, which of the following findings should the nurse report to the health care provider?

• A)Oxygen saturation of 94%
• B)Respirations of 18 breaths/minute
• C)Green nasogastric tube drainage
• D)Increased jugular venous distention