Get immediate attention due to her deterioration

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Reference no: EM133919427

Question

On admission the GCS was 14/15 - E-4, V-4, M-6.

It's now 12-15 - E-3, V-4, M-5.

blood pressure is 95/60mmHg and respirations are 26

1. In conjunction with the other above vitals you have taken, what does this mean and outline at least one intervention/s you should take?

A. GCS shows a deterioration in what?

B. How can you monitor closely?

C. Do you leave the patient to notify someone

D. How can you personally escalate the situation to get immediate attention due to her deterioration?

E. What assessments can be initiated by you?

2. List two things that you, as an Enrolled Nurse can do to respect to maintain safety, dignity, rights and self-efficacy within legal and ethical guidelines - take into account her Alzheimer diagnosis.

Reference no: EM133919427

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