The nurse reporting on duty learns that the nursing unit is using the AVPU scale on one of the nurse's assigned clients. The nurse recalls that the AVPU scale is used for:
a. determining the level of pain of an intubated child
b. measuring the weight of a child who cannot stand
c. obtaining a measure of the level of consciousness
d. obtaining a gross measure of intracranial pressure
C
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A Incorrect. The AVPU scale is not used for determining pain status.
B Incorrect. The AVPU scale is not used for determining the weight of the child.
C Correct. The AVPU scale is used to evaluate the child's level of consciousness. AVPU is a mnemonic which represents A=alert and awake, V=responsive to verbal stimuli, P=responsive to painful stimuli, U=unresponsive.
D Incorrect. The AVPU scale is not used in obtaining a gross measure of intracranial pressure.
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