A client exhibiting an altered level of consciousness (LOC) due to blunt force trauma to the head is admitted to the ED. The nurse should gauge the client's LOC on the results of what diagnostic tool?
Monro-Kellie hypothesis
Glasgow Coma Scale
Cranial nerve function
Mental status examination
The Correct Answer is B
A. Monro-Kellie hypothesis: The Monro-Kellie hypothesis explains the relationship between the volumes of brain tissue, blood, and cerebrospinal fluid in the cranium, but it is not a diagnostic tool for assessing LOC.
B. Glasgow Coma Scale: The Glasgow Coma Scale (GCS) is a standardized tool used to assess a client's level of consciousness, particularly in cases of head injury. It evaluates eye opening, verbal response, and motor response.
C. Cranial nerve function: Cranial nerve assessment is important in evaluating neurological function, but it is not a comprehensive tool for gauging LOC.
D. Mental status examination: A mental status examination assesses cognitive functions, but the Glasgow Coma Scale is more appropriate for evaluating LOC in the context of head trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Asian men: SLE is less common in men and even less common among Asian men.
B. White women: White women are at risk, but SLE is more prevalent among women of African descent.
C. Native American men: SLE is more common in women, and while Native Americans have a higher risk compared to some other groups, African American women have the highest prevalence.
D. African American women: This group has the highest risk for developing SLE. The disease is more common and severe in African American women compared to other demographics.
Correct Answer is B
Explanation
A. Pharmacotherapy: While medication is crucial in managing bipolar disorder, the immediate priority during a manic episode is ensuring the client's safety, as they may engage in risky behavior.
B. Client safety: Client safety is the highest priority during a manic episode, as clients may act impulsively, which can lead to harm to themselves or others.
C. Cognitive-behavioral therapy: CBT is an important therapeutic intervention for long-term management, but it is not the immediate priority during a manic episode.
D. Distraction therapy: Distraction techniques can be helpful, but they are not a priority compared to ensuring the client’s safety.
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