[Answered]: The nurse in the emergency department is caring…

The nurse in the emergency department is caring for a 51 -year-old client who sustained a closed head injury and has cerebral edema. Nurses’ Notes Emergency Department 0900: Sitting upright in bed with the neck in neutral position. Awake, alert, and oriented. Pupils symmetrical and reactive to light. Pain rated as 8 on a scal of 0-10. IV morphine administered. 1100: Vomiting and lethargic. Oriented to person, place, time, and situation. Speech appropriate, but slow. Headache. Reports no dizziness or lightheadedness. Pupils sluggish bilaterally and unilateral pupil dilation is present. Extremity strength and sensation equal and intact. 》 The nurse should recognize that the client’s change in condition likely indicates hypotension oversedation