A nurse in an intermediate intensive care unit is admitting…

A nurse in an intermediate intensive care unit is admitting a patient who becomes lethargic and unable to complete sentences. The patient has a heart rate of 34 beats per minute and a blood pressure of 83/48 mm Hg. The nurse applies electrodes to the patient’s chest and limbs and the electrocardiogram (EKG) monitor shows the following rhythm. Which of the following actions should the nurse take?  

A patient is brought to the ED by ambulance after a motor ve…

A patient is brought to the ED by ambulance after a motor vehicle accident in which the client received blunt trauma to the chest. The patient is in acute respiratory failure, is intubated, and is transferred to the ICU. What assessment parameters should the nurse most closely monitor? Select all that apply, 3 correct answers.