A client who has experienced trauma is admitted to the
intensive care unit.The nurse's initial assessment includes a
Glasgow Coma Scale (GCS) score of 3, pupils fixed and dilated
with an absence of corneal reflex , blood pressure of
80/30
mmHg, and core temperature of 95.7^circ F(35.4^circ C) . The client's
spouse asks the nurse when the client will wake up . How
should the nurse respond?
"Your spouse's condition indicates irreversible damage."
"Let me contact the healthcare provider to answer your questions."
"Each person is different and we need to wait and see what
happens."
"I need to initiate the volume expanders and warming blanket to
stimulate a response."