The nurse's first course of action in this circumstance is to mobilise the quick response team.
Early warning indicators of decline include tachypnea and confusion.
Patients in non-critical care units who are unstable receive quick and effective care thanks to the rapid response team (RRT). Assessing pain, entering information into the medical record, and giving prescribed medications, including hypertension meds, are all legitimate nursing interventions, but they are not the top priorities in this scenario.
Fast, shallow breathing that happens as a result of insufficient oxygen or too much carbon dioxide in the body is known medically as tachypnea. Tachypnea is the term used to describe rapid, shallow breathing in infants, kids, and adults. It is not a disorder nor a disease, nor is it always an indication of an underlying problem.
To know more about hypertension, visit:
https://brainly.com/question/28232601
#SPJ4