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A 14-year-old boy fell off his bike while “popping a wheelie” on the dirt trails.

A 14-year-old boy fell off his bike while “popping a wheelie” on the dirt trails. He has sustained a head injury with laceration of his scalp over his temporal lobe. If he were to complain of headache during the first 24 hours of his hospitalization, the nurse would:

A.

Ask the physician to order a sedative

B.

Have the client describe his headache every 15 minutes

C.

Increase his fluid intake to 3000 mL/24 hr

D.

Offer diversionary activities

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