The nurse notes that the Glasgow Coma Scale rating made on the patient 4 hours ago indicated a fully alert patient with a score of _____ points
a. 25
b. 20
c. 15
d. 10
C
The Glasgow Coma Scale 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. A score of 15 points on the Glasgow Coma Scale indicates a fully alert patient.
You might also like to view...
After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
Aside from excessive bleeding, heparin therapy may increase the risk of a patient developing which condition?
a. A decrease in urination b. An increase in thirst c. An increase in hypertension d. A decrease in visual acuity
You are an oncology nurse caring for a client who is taking antineoplastic agents. What adverse symptoms must you monitor for in this client?
A) Symptoms of gout B) Symptoms of hypertension C) Symptoms of diarrhea D) Symptoms of anemia
A nursing student asks the nurse about receptor specificity of adrenergic agonist medications. What will the nurse say?
a. "As the dosage of these medications in-creases, drugs in this class are more selec-tive." b. "Dopamine is selective for dopamine re-ceptors and has no effects on alpha or beta receptors." c. "Epinephrine is the most selective al-pha-adrenergic agonist medication." d. "Specificity is relative and is dose depen-dent."