A nurse is caring for a client. Exhibit 1 Exhibit 2 Nurses’ Notes Day 1, 1800: Client is admitted to the emergeny department following a motor vehicle accident. Emergency medical technician reports the client had a loss of consciousness at the scene. Pupils are 3 mm , equal and reactive to light. Client is lethargic, but arouses easily and is oriented to person, place, and time. Hand grasps are strong and equal bilaterally. Bilateral breath sounds are clear and present throughout. Apical pulse is regular. Day 2, 0800: Pupils are 9 mm , equal and react sluggish to light. Client is unresponsive to verbal commands and opens eyes to vigorous stimulation. Bilateral breath sounds with scattered rhonchi Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. table[[Body system,Findings],[Cardiovascular,table[[Apical pulse is regular.],[Heart rate
[Answered]: A nurse is caring for a client
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