A patient in the neurologic intensive care unit has an endotracheal tube. When the nurse does the hourly Glasgow Coma Scale assessment, what rating would this patient have for verbal response?
1. 1
2. 4
3. 2
4. 3
1
Rationale 1: The Glasgow Coma Scale assesses both level of consciousness and motor response to a stimulus. The scale has three sections: eye opening, motor response, and verbal response. If the patient is unable to talk because of intubation, the score is a 1.
Rationale 2: The patient is unable to talk and would not be scored as a 4.
Rationale 3: The patient is unable to talk and would not be scored as a 2.
Rationale 4: The patient is unable to talk and would not be scored as a 3.
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