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The ED physician has completed an assessment. Gail is sitting at the bedside while the ED nurse continues to assess Nancy every 15 minutes. Which assessment finding warrants immediate intervention by the nurse?A. Nancy has a negative Babinski's reflex bilaterallyB. Nancy only responds to a painful stimuliC. Nancy's Glasgow Coma Scale (GCS) score increasesD. Nancy's bilateral grip strength is unequal
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