A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?

(A) Glasgow coma scale result:
The Glasgow Coma Scale (GCS) result is important and would be included in the "Assessment" segment of SBAR, as it provides current data on the client's level of consciousness and neurological status.

(B) Intracranial pressure readings:
Intracranial pressure (ICP) readings are crucial for monitoring the client's condition but would be more appropriately included in the "Assessment" or "Background" segments, as they provide ongoing data relevant to the client's current health status and trends.

(C) Medication during the next shift:
Medication information, especially about what needs to be administered during the next shift, would fall under the "Recommendation" segment. This is where the outgoing nurse would specify what needs to be done next for the client's care.

(D) History of the injury:
The history of the injury is part of the "Situation" segment in SBAR reporting. This includes a brief description of why the client is being reported on, providing context for their current condition. For a client with a traumatic brain injury, this would involve a summary of how the injury occurred, which sets the stage for understanding the client's current status and care needs.

(A) Document the rhythm as normal: Asystole is a serious condition characterized by a flatline ECG, indicating no electrical activity in the heart. It is not a normal rhythm and requires immediate intervention.

(B) Start cardiopulmonary resuscitation (CPR): This is the most appropriate initial action. Asystole is a life-threatening condition that requires immediate intervention. The first step should be to start CPR and call for help.

(c) Prepare the patient for cardioversion: Cardioversion is typically used to treat conditions where the heart is beating irregularly (arrhythmias), but not when there is no electrical activity at all (asystole).

(D) Prepare to administer atropine: Atropine is sometimes used in the treatment of bradycardia (slow heart rate), not asystole. In the case of asystole, epinephrine is more commonly administered during resuscitation efforts.