The nurse is caring for a patient admitted to the emergency room after a motor vehicle accident. Which of the following assessments is most important to carry out?
a. Visual analogue scale
b. Romberg test
c. Glasgow Coma Scale
d. Babinski test
ANS: C
The Glasgow Coma Scale is an international scale used to assess level of consciousness and document findings and would be the highest priority. A visual analog scale is often used to measure pain level. Babinski and Romberg tests assess muscle function.
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