A 54-year-old patient is admitted to the neurologic intensiv…

A 54-yeаr-оld pаtient is аdmitted tо the neurоlogic intensive care unit after experiencing a sudden, severe headache while exercising. The patient states, "This is the worst headache I have ever had." The patient vomited once before arrival and is sensitive to light. A CT scan confirms a subarachnoid hemorrhage, and cerebral angiography identifies a ruptured cerebral aneurysm. Current assessment: Glasgow Coma Scale (GCS): 14 BP: 188/102 mmHg HR: 86 beats/min RR: 18 breaths/min SpO₂: 98% on room air Pupils equal and reactive No new focal motor deficits The provider establishes a goal of maintaining the patient's systolic BP below 160 mmHg while avoiding hypotension and orders an IV nicardipine continuous infusion for persistent hypertension. Which nursing actions are appropriate? Select all that apply