A client who is brought by ambulance

A client who is brought by ambulance to the emergency department following an automobile accident . The nurse observes bleeding from the nose and the arrival are heart rate 100 beatsminute, respirations 16 breaths/minute and blood pressure 130/76 mm Hg. Which asseent finding warrants immediate intervention the nurse?

1- Blood pressure decreased to 110/64 mm Hg

2- halo around blood dropped on gauze

3- pupils 3 mm with sluggish responde

4- clots of blood forming within nares

to the emergency department following an automobile accident . The nurse observes bleeding from the nose and the arrival are heart rate 100 beatsminute, respirations 16 breaths/minute and blood pressure 130/76 mm Hg. Which asseent finding warrants immediate intervention the nurse?

1- Blood pressure decreased to 110/64 mm Hg

2- halo around blood dropped on gauze

3- pupils 3 mm with sluggish responde

4- clots of blood forming within nares