The Nurse Is Caring for a Patient Admitted with a Subarachnoid

question 26

Multiple Choice

The nurse is caring for a patient admitted with a subarachnoid hemorrhage following surgical repair of the aneurysm.Assessment by the nurse notes blood pressure 90/60 mm Hg,heart rate 115 beats/min,respiratory rate 28 breaths/min,oxygen saturation (SpO₂) 99% on supplemental oxygen at 3L/min by cannula,a Glasgow Coma Score of 4,and a central venous pressure (CVP) of 2 mm Hg.After reviewing the physician orders,which order is of the highest priority?

• A) Lasix 20 mg intravenous push as needed
• B) 500 mL albumin intravenous infusion
• C) Decadron 10 mg intravenous push
• D) Dilantin 50 mg intravenous push

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Definitions:

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