Á nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
The client is alert and oriented.
Indicates stable neurologic status
The client needs total nursing care.
The client is in a deep coma.
The Correct Answer is C
A. A score of 6 indicates a severe impairment in consciousness, not alertness and orientation.
B. A score of 6 does not indicate a stable neurologic status but rather severe brain injury or impairment.
C. Clients with a GCS of 6 typically need total care, as they are unable to perform self-care activities and may be unable to respond to commands.
D. While a GCS of 3 indicates deep coma, a score of 6 reflects severe impairment, though not necessarily a deep coma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Moving objects away prevents injury during the seizure and is a critical safety measure.
B. Placing the client on their side, rather than on their back, helps maintain an open airway and prevents aspiration.
C. Inserting anything into the client's mouth, including a padded tongue blade, is not recommended as it may cause injury.
D. Restraining the client could result in injury and is not advised.
Correct Answer is B
Explanation
A. While the client's close contacts may be screened and tested for TB, they do not typically need preventive treatment unless they test positive.
B. Treatment for TB usually involves a 6 to 9-month regimen of multiple medications to effectively eradicate the bacteria and prevent drug resistance.
C. A negative Mantoux test would not indicate that TB is cured; it is used for screening, not for monitoring treatment effectiveness.
D. TB medications are not taken lifelong; they are taken for a specified period to cure the infection.
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