The trauma nurse is assessing a client's level of consciousness with the Glasgow coma scale. Which components does the nurse recognize are part of the Glasgow coma scale? Select all that apply.
A) Airway clear
B) Best verbal response
C) Eyes open
D) Best pupillary response
E) Best motor response
B) Best verbal response
C) Eyes open
E) Best motor response
Explanation: A) Best pupillary response and airway clear are not included in the Glasgow coma scale.
B) The Glasgow coma scale includes best verbal response, eyes open, and best motor response.
C) The Glasgow coma scale includes best verbal response, eyes open, and best motor response.
D) Best pupillary response and airway clear are not included in the Glasgow coma scale.
E) The Glasgow coma scale includes best verbal response, eyes open, and best motor response.
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