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:
Ask the physician to order a sedative
Have the client describe his headache every 15 minutes
Increase his fluid intake to 3000 mL/24 hr
Offer diversionary activities
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