HR: 92 BP: 180/120 ECG: Normal sinus SPO2: 98% RR: 18 Temp: 98.6 F…HR: 92BP: 180/120ECG: Normal sinusSPO2: 98% RR: 18Temp: 98.6 FFHR: 145 (baseline of 144-146 bpm)Contractions: None noted on monitorPhysical assessment:Rates headache at 10/10 again and no visual disturbances reported. DTRs 3+ with no clonus. Lungs clear to auscultation. Urine output is >30mL/hour What is the top priority nursing diagnoses (Given the assessment, what are you most worried about?) (Hint – look at blood pressure). It needs to have “related to” and “as evidence by” since it’s a nursing diagnosis via NANDA Health ScienceScienceNursing NURSING RN 361
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