A patient who was in an industrial accident has had a sudden increase in intracranial pressure and is being prepared for placement of an emergency subarachnoid bolt. Which action should the nurse make a priority at this time?
a. Find out how the accident happened.
b. Ensure the patient is bathed before surgery.
c. Have the patient's next of kin sign a consent form.
d. Send the patient's belongings home with a family member.
ANS: C
The patient is unlikely to be able to sign a consent form, and it must be signed for surgery to begin. B. Bathing is not a priority. A. D. Belongings and further questioning can be taken care of after the patient is in surgery.
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