The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse's most recent assessment reveals that the client's respiratory effort has increased. What is the nurse's most appropriate response?
a. Inform the care team and assess for further signs of possible increased ICP.
b. Administer bronchodilators as prescribed and monitor the client's LOC.
c. Increase the client's bed height and reassess in 30 minutes.
d. Administer a bolus of normal saline as prescribed.
