A 32-year-old client is brought to the emergency department…
A 32-year-old client is brought to the emergency department 45 minutes after being found unconscious next to an empty bottle of amitriptyline. The client is now difficult to arouse and intermittently mumbles incomprehensible words. Vital signs are blood pressure 88/52 mm Hg, heart rate 116/min, respiratory rate 10/min, oxygen saturation 93% on room air, and temperature 99.0°F (37.2°C). Which assessment finding should the nurse identify as the highest priority?