The nurse is caring for a patient admitted with a subarachnoid hemorrhage following surgical repair of the aneurysm.Assessment by the nurse notes blood pressure 90/60 mm Hg,heart rate 115 beats/min,respiratory rate 28 breaths/min,oxygen saturation (SpO₂)99% on supplemental oxygen at 3L/min by cannula,a Glasgow Coma Score of 4,and a central venous pressure (CVP)of 2 mm Hg.After reviewing the provider prescriptions,which order is of the highest priority? A) Lasix 20 mg intravenous push as needed B) 500 mL albumin intravenous infusion C) Decadron 10 mg intravenous push D) Dilantin 50 mg intravenous push

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Quizplus · Accepted Answer

To ensure adequate cerebral perfusion,for a CVP of 2 mm Hg,blood pressure of 90/60 mm Hg,and heart rate of 115 beats/min,an infusion of 500 mL of albumin is most appropriate.Lasix is contraindicated in low volume states.Although Decadron and Dilantin are appropriate medications,in this scenario,they are not the priority medications.

The Nurse Is Caring for a Patient Admitted with a Subarachnoid