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A client opens the eyes and answers questions however falls back asleep within seconds. How should the nurse document this assessment finding?

A.

Coma

B.

Lethargy

C.

Obtunded

D.

Stupor

Answer and Explanation

The Correct Answer is B

A.    Coma is a state of profound unconsciousness where the patient cannot be awakened and does not respond to any stimuli, including verbal commands or physical stimuli.
 
B.    Lethargy is characterized by a state of drowsiness or fatigue where the patient may fall asleep easily but can be roused to respond appropriately when stimulated. The patient shows decreased alertness but is still capable of engaging with stimuli.
C.    Obtunded refers to a state where the patient has reduced alertness and responsiveness. They may respond slowly and require increased stimulation to achieve a response. They are less aware of their environment and have dulled senses.
D.    Stupor is a state of near-unconsciousness where the patient can only be awakened by vigorous or painful stimuli. They may not respond to verbal commands but may show some response to more intense stimuli.
 


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Related Questions

Correct Answer is ["C","D","E","F"]

Explanation

A. Subcutaneous nodules are lumps or masses that can occur beneath the skin, sometimes seen in conditions like rheumatoid arthritis.
B. Crepitus refers to a crackling or popping sound heard or felt during joint movement. It is often associated with osteoarthritis or other joint conditions.
C. Warmth or increased temperature over the joint area is a common sign of inflammation. It occurs because inflammation increases blood flow to the affected area.
D. Swelling, or edema, is the accumulation of fluid in the joint space or surrounding tissues. It is a clear sign of inflammation and can be due to increased fluid production or leakage from blood vessels.
E. Redness, or erythema, around the joint is a result of increased blood flow to the area due to inflammation. It is often accompanied by warmth.
F. Tenderness refers to pain or discomfort in the joint area when touched or palpated. It indicates an inflammatory process in the joint.

Correct Answer is B

Explanation

A. Coma is a state of profound unconsciousness where the patient cannot be awakened and does not respond to any stimuli, including verbal commands or physical stimuli.

B. Lethargy is characterized by a state of drowsiness or fatigue where the patient may fall asleep easily but can be roused to respond appropriately when stimulated. The patient shows decreased alertness but is still capable of engaging with stimuli.
C. Obtunded refers to a state where the patient has reduced alertness and responsiveness. They may respond slowly and require increased stimulation to achieve a response. They are less aware of their environment and have dulled senses.
D. Stupor is a state of near-unconsciousness where the patient can only be awakened by vigorous or painful stimuli. They may not respond to verbal commands but may show some response to more intense stimuli.

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