You are reassessing a young female who sustained blunt trauma to the chest in a motor vehicle collision. Which of these assessment findings best indicates that she is deteriorating and in the decompensatory phase of shock?

A 22-year-old man was struck in the forehead by a softball. He is conscious and alert, but complains of a severe headache. Your assessment reveals a large hematoma to his forehead. His vital signs are stable and his breathing is adequate. You should:

A) apply firm manual pressure to the hematoma to reduce internal bleeding. B) place him in a sitting position and apply a chemical heat pack to his head. C) apply an icepack to the hematoma and monitor his level of consciousness. D) start an IV of normal saline and administer 2 mg of morphine for the pain.

Which of the following information would be documented under the plan of action?

A. Patient's vital signs B. Physician's diagnosis C. Patient's chief complaint D. Results of the physician's examination E. Medications prescribed and tests to be done