The patient is caring for a patient who spontaneously opens his eyes, localizes pain, and carries out confused conversation. The nurse correctly documents which Glasgow Coma Scale (GCS) rating for this patient?
a. 12
b. 13
c. 14
d. 15
B
The GCS is used to evaluate a patient's neurologic functioning and level of consciousness. Scores range from 3 to 15 points. The higher the score, the higher the level of consciousness. Spontaneous eye movement (4 points), localizing pain (5 points), and confused conversation (4 points) total a GCS rating of 13.
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A) Hospital B) Community C) Home D) All of the above are correct
A patient complains to the nurse that since taking a medication he has suffered from excessively dry mouth. What term should the nurse use to document this complaint?
a. Exophthalmos b. Anosomia c. Insomnia d. Xerostomia
The nurse notes that the tongue of the client who has undergone a Billroth II operation has taken on a shiny, beefy appearance. What conclusion can the nurse draw from this informa-tion?
A. The client requires further instruction regarding postoperative oral hygiene. B. The client is exhibiting symptoms of vitamin B12 deficiency. C. The client has developed protein-calorie malnutrition. D. The client is exhibiting symptoms of alkaline reflux.
Facing the changes in society, what have most state and local governments chosen to do?
a. Cut programs for low-income families to balance the budget b. Cut programs that primarily serve the middle class c. Increase taxes to meet revenue requirements d. Ignore any federal mandates that are unfunded