The morning vital signs for a patient with a C4 spinal cord…
The morning vital signs for a patient with a C4 spinal cord injury are as follows: BP 110/60, P 62, R 16. The patient care technician just charted vital signs as BP 180/90, P 55, R 20. The patient is complaining of a sudden severe headache, is agitated, has facial flushing, and wants something for a headache. What is the nurse’s priority action?