Analyzing Cues After reviewing the client’s information, highlight the findings that…

Analyzing Cues After reviewing the client’s information, highlight the findings that require immediate follow up. A client with traumatic brain injury has a ventriculostomy monitoring device in place. Assessment findings show ICP is 32 mmHg, with a MAP of 91 mmHg. The client is alert but demonstrates restlessness, reports a severe headache, and has a Glasgow Coma Scale (GCS) score of 14. Vital signs include a respiratory rate of 24 breaths per minute, heart rate of 90 bpm, and blood pressure of 158/100 mmHg.