A patient involved in a car accident is brought to the emergency department. The nurse is asked to use the Glasgow Coma Scale. The patient opens eyes when spoken to and points to the location of pain but is confused in conversation
What would this patient's Glasgow Coma Scale score be?
a. 8
b. 10
c. 12
d. 14
ANS: C
(Eye opening = 3 + best verbal response = 5 + best motor response = 4) = 12.
You might also like to view...
Why is it important for a nurse to inquire about any foreign travel of a patient with a suspected lymphatic or hematologic disorder?
A) To determine the varied sexual history of the patient, if any B) To determine the potential exposure to infectious agents C) To determine whether the patient has had any blood transfusions D) To determine whether the patient adopted any specific dietary habits
Which coanalgesics should the nurse expect to be prescribed for pruritus? (Select all that apply.)
a. Naloxone (Narcan) b. Inapsine (Droperidol) c. Hydroxyzine (Atarax) d. Promethazine (Phenergan) e. Diphenhydramine (Benadryl)
Which adverse effect should the nurse monitor the client receiving doxorubicin (Adriamycin) for?
A. Neurotoxicity B. Cardiotoxicity C. Nephrotoxicity D. Hepatotoxicity
When inspecting the intravenous site of a patient receiving a vesicant chemotherapy agent, the LPN notes a small area of swelling. What should the LPN do first?
a. Discontinue the infusion and notify the RN. b. Document the finding in the chart. c. Check the site every hour. d. No action is needed; this is an expected finding.