Problem:
Answer this: A client sustained a head injury 30 minutes ago when she was struck by a car while crossing the street. She is brought to the emergency department with the following: T 38°C, BP 92/42, AP 110, RR 26, O2 Sat 90% on RA. The client complains of a persistent headache and requests that the nurse assist her to ambulate. Which of the following client data is most predictive of poor outcomes in head injuries? AP 110, RR 26, and requiring assistance to ambulate BP 92/42 mmHg and O2 saturation of 90% on RA RR26, head injury 30 minutes ago and pupils are responsive to light T 38°C, age (17 years old), gender (female), and complaints of persistent headache