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[Verified Answer]: A 12 year-old child is admitted to the…

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A 12 year-old child is admitted to the pediatric unit following a seizure. What is the priority nursing action based on these data? 10/15 1500 Vital Signa T:104 F (40 C) P:89 R:30 B/P 80/42 Nurse’s Note Difficult to arouse; c/o headache; emesis x2. Exhibiting nuchal rigidity; petechiae noted on distal extremities lumbar puncture elevated WBC in CSF deceased glucose in CSF

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