Picmonic NCLEX® Question of the Day

A 10-year-old girl is seen in the ER after falling down when she was chasing the ice-cream truck down the street. She is drowsy and confused, her blood pressure is 85/55 mmHg, heart rate 117bpm, and has rapid, shallow breathing. What is the nurse's priority?

Elevate head of bed to 90°.
Place patient in Trendelenburg's position.
Administer ordered albumin 5% IV.
Administer 2L of oxygen.

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