A client is admitted to the intensive care unit with a traumatic brain injury and develops hypovolemic shock. Skin cool, clammy, pale. Alert and oriented to person only. Restless. Urinary output 20 ml/hour. Capillary refill >3 seconds.

Vital signs:

Heart rate: 130 beats/minute

Alert to person only

Blood pressure: 80/palp

Temperature: 96.9 ℉

Respiratory rate: 28 breaths/minute

Respiratory rate: 28 breaths/minute

Click to highlight the 3 orders the nurse should implement first:

• Mannitol IV 1g/kg
• D510W @ 500/hour
• Epinephrine 0.5 ml
• Albumin 25g
• Obtain a Swan-Ganz kit
• Vasopressin 0.05 units/minute
• Put a code cart outside the room