Question: Review the nursing actions and identify if they are indicated or not indicated based on the nursing assessment. Nurses' Notes Date/Time Nurse's Note 07/05/20XX 1901 Received Angela Everheart, a 57-year-old female who was brought to the emergency department after experiencing a severe headache that she has had for three days. In the emergency department, she experiences a decreased level of consciousness. She does not open her eyes or respond verbally to any stimuli. Motor response to pain is decerebrate posturing. Pupils are dilated and unequal, with the right pupil being at 7mm, the left being 3mm, and both unresponsive to light. T: 98.4 °F (36.9 °C), BP 180/60, P: 45, R: 8 and irregular, Oxygen Saturation: 84%. Admission weight: 78 kg. Glasgow coma scale: 4 Generating Solutions For each intervention listed in the first column, select whether it is indicated or not indicated for proper client care. Indicated Not Indicated Elevate the head of the bed above 30 degrees.? Place client in Trendelenburg.? Assist with cerebral spinal fluid catheter insertion and drainage.? Administer blood pressure-decreasing medications.? Administer morphine as prescribed for pain.? Administer oxygen as prescribed.? Suction airway vigorously.