-Curtains
-Hand hygiene
-Wristband ID
-Raise bed
-Lower bed rails
question
Communication
answer
-General inquiry (she then says "I'm gonna throw up", so you gotta raise the head of the bed through an intervention)
-Pain (then offer her pain meds in intervention)
-Nausea
question
Head and neck
answer
-Inspect: skin (unexpected), sclerae (unexpected), and facial expression (unexpected)