The intensive care unit (ICU) nurse is admitting a client di…

The intensive care unit (ICU) nurse is admitting a client diagnosed with a traumatic brain injury (TBI). Client Name: A.P. MR# 0123456 Date: Today Age: 29 yrs Allergies: NKDA Diagnosis: TBI Medication 0701–1900 1901–0700  4 mg IVP every 6 hr 1200 1800 2400 0600 0.9% saline continuous infusion at 25 mL/hr 1600   Nicotine patch 15 mg /daily Apply at 0800; discontinue at 2100 0900 2100 Morphine sulfate 4 mg IVP every 3 hr prn     Signature of Nurse: Day Nurse RN/DN Night Nurse RN/NN Which HCP medication order would the nurse question?  

The client is admitted to the ED after a motorcycle accident…

The client is admitted to the ED after a motorcycle accident. The client was not wearing a helmet when their head struck the pavement. The nurse identifies the concept as impaired intracranial regulation. Which interventions should the ED nurse implement in the first 5 minutes? Select all that apply.