Glasgow coma scale Study guides, Class notes & Summaries

A client is comatose upon arrival to the emergency department after falling a roof. The client flexes with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare to implement to maintain the client's airway? - Answer- A nasopharyngeal tube A client is receiving a continuous half strength tube feeding at 50 ml/hr. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse ne...

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A. His Glasgow Coma Scale (GCS) score is 15 B. His wife states that this was his "usual" seizure C. He has experienced seizures since he was 20 D. He is currently not ...

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...

2024 NUR HESI EXIT RN CAT EXAM QUESTIONS& ANSWERS 100%correct/verified Graded A+ NGN A client who had an intraosseous (IO) cannula placed by the healthcare providerfor an emergent fluid resuscitation is complaining of severe pain and numbness below the IO site. The skin around the site is pale and edematous. What action should the nurse takes first? a.Discontinue the IO infusion b.Administer an analgesic via the IO site c.Elevate the extremity with the IO site d.Notify the healthcar...

ATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL ...

CRITICAL CARE FINAL EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS 2023/2024 a,d,e,f - CORRECT ANSWER-A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? (Select all that apply). a. Nausea and vomiting b. Hyperthermia c. Bradycardia d. Increased weight e. Decreased serum sodium f. Decreased level of consciousness a,b - CORRECT ANSWER-A nurse is car...

ATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL ...

ATI_OXYGENATION_PRACTICE_9.KEY. 1. A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.) C. Open the airway using a jaw-thrust maneuver. D. Determine effectiveness of ventilator efforts. B. Establish IV access. A. Perform a Glasgow Coma Scale ass...

The client is responsive and able to fully respond by opening their eyes and attending to a normal tone of voice and speech. What is the level of consciousness? - Correct Answer Alert The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is the level of consciousness? - Correct Answer Lethargic The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief response. They might not be able to respond verb...

ATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAMATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL ...