Nurses’ Notes   11:30: Patient complains of a severe…

Nurses’ Notes   11:30: Patient complains of a severe headache and fatigue. States, “I just want to go sleep. I am so tired; I am having trouble reading my admission paperwork. My vision is so blurry.” Her only other complaint is thirst. Laboratory Report   Lab Results Reference range BUN 20  mg/dL 10-20 mg/dL Creatinine (Serum)        1.3 mg/dL 0.9 to 1.4 mg/dL Glucose        160 mg/dL 70-110 mg/dL Potassium(serum) 3.2 mEq/L 3.5 to 5 mEq/L Sodium (serum) 150 mEq/L 135 to 145 mEq/L Chloride (serum) 98 mEq/L 96 to 106 mEq/L        Cortisol         50 mcg/dL 5-25 mcg/dL Vital Signs Time 11:00 1130 Temp 98.2 F 98.2 F HR 110 111 RR 23 22 B/P 151/87 162/99 Pulse oximeter 94% on RA 95% on RA Pain 0/10 7/10 After the 11:30 assessment, what is the nurse’s priority action?