The nurse completes an assessment of a patient on the neurology unit. After reviewing the results listed in the table, what coma state does the nurse realize this patient is experiencing?
1. persistent vegetative
2. stupor
3. locked-in syndrome
4. minimally conscious
Correct Answer: 1
Persistent vegetative state (irreversible coma) is a permanent condition characterized by complete unawareness of self and the environment and loss of all cognitive functions. The patient has sleep?wake cycles and can chew, swallow, and cough. When awake, the eyes wander but cannot track objects or persons. The patient may grasp objects and respond to physical stimuli but not upon command. In stupor the patient is generally unresponsive but may arouse to vigorous or painful stimuli. The patient in locked-in syndrome is alert and fully aware of the environment and has intact cognitive abilities but is unable to communicate through speech or movement. The minimally conscious patient is aware of the environment and can follow simple commands, manipulate objects, gesture or verbalize "yes/no" responses, and make meaningful movements in response to stimuli.
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