The nurse receives the assigned clients for today on a neurology unit. The nurse should check on which client first?
a. Client with history of head injury whose Glasgow Coma Scale (GCS) changes from 13 to 14
b. Client with history of myasthenia gravis who had ptosis in the evening
c. Client with history of T2 spinal injury who has diaphoresis, pulse 54/min, and hypertension
d. Client with history of transverse myelitis with 2+ bilateral lower extremity muscle strength