The glasgow coma scale - Study guides, Class notes & Summaries

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A) To assess cognitive ability, I should ask the client to count backward by sevens. B) To assess affect, I should observe the client's facial expression C) To assess language ability, I should instruct the client to write a sentence. D) To assess remote memory, I should have the clie...

2023 HESI PN EXIT EXAM V3 110 QUESTIONS AND ANSWER(S) 1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)? • 9 % • 18 % 36 % • 45 % • Rational: according to the rule of nines, the anterior and posterior surfaces of one lower extremity ...

MEDSURG VATI ASSESSMENT | 70 Questions with 100% Correct Answers | Latest Update | Verified A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% - aclient who has peripheral edema and urinary output of 130 over 4hrs - A client who has a permanent pacemaker with heart rate of 76/min -a client who has pericarditis and temp. 38 c 100.4 - - A client who has chest tubes an...

A client is comatose upon arrival to the emergency department after falling a roof. The client flexes with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare to implement to maintain the client's airway? - Answer- A nasopharyngeal tube A client is receiving a continuous half strength tube feeding at 50 ml/hr. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse ne...

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A. His Glasgow Coma Scale (GCS) score is 15 B. His wife states that this was his "usual" seizure C. He has experienced seizures since he was 20 D. He is currently not ...

MDC 4 Exam 1 Rasmussen University Questions and Answers 100% Solved Which Migraine medications cannot be used in a patient with cardiac diseases and why? Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels What does abortive therapy do for migraines? alleviate pain after the headache starts What does preventative therapy do for migraines? prevent a headache is it occurs more than twice a week or is severe. A patient is taking beta block...

HESI Pharmacology Exam Version 4| 55 Questions and Verified Answers | 2021/ 2022 Q: A client, who has a myocardial infarction last year, has a daily prescription for aspirin 325 mg by mouth. Which assessment finding should alert the nurse to withhold the medication? a. Low prothrombin time. b. High white blood cell count. c. Oral temperature of 97.9 F. d. Low platelet count. Answer: D. Q: A nurse administered a second dose of an opioid containing codeine and acetaminophen t...

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory and motor is intact. What is the...

CRITICAL CARE FINAL EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS 2023/2024 a,d,e,f - CORRECT ANSWER-A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? (Select all that apply). a. Nausea and vomiting b. Hyperthermia c. Bradycardia d. Increased weight e. Decreased serum sodium f. Decreased level of consciousness a,b - CORRECT ANSWER-A nurse is car...

1. The Glasgow Coma Scale (GCS) assesses what areas of response to stimuli? Select all that apply:(Required) A. Auditory response B. Verbal response C. Tactile response D. Eye-opening response E. Motor response correct answers B. Verbal response D. Eye-opening response E. Motor response The Glasgow Coma Scale (GCS) assesses THREE areas of a patient's response to stimuli. This includes eye-opening response (E), verbal response (V), and motor response (M). 2. During the Glasgo...