In an assessment of the level of consciousness of a patient who does not respond to environmental stimuli such as noise, the proper sequence to follow is to next assess the patient's response to
a. light touch, verbal stimuli, and then painful stimuli.
b. verbal stimuli, light touch, and then painful stimuli.
c. pressure to a nail bed of each extremity, pinching the trapezius muscle, and pressure applied to the supraorbital ridge or manubrium.
d. gentle shaking, shining a light in the patient's eyes, and then painful stimuli.
B
If a patient does not respond to noise, the following sequence should be used. Call out the patient‘s name, and if there is no response to verbal stimuli, lightly touch the person's hand. If the patient does not respond to environmental or verbal stimuli, then apply a painful stimulus. Only after there is no response to environmental, verbal, and touch stimuli should you proceed with the sequence in option "c." Use of light is not an appropriate stimulus.
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