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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. A 30° angle is too low and may increase the risk of aspiration; a 90° sitting position is preferred for safe swallowing.

B. Coughing while swallowing is not recommended as it may increase the risk of choking.

C. Tilting the head forward while swallowing helps to close the airway and reduce the risk of aspiration, which is crucial in dysphagia management.

D. Food should be placed on the stronger side to improve control and reduce aspiration risk.

A. "I will closely follow a high-purine diet." B. "I will limit my alcohol intake." C. "I will limit my fluid intake to 1 liter per day." D. "I will take one aspirin every day."

Correct Answer is B

Explanation

A. A high-purine diet can worsen gout symptoms, so the client should avoid high-purine foods.

B. Limiting alcohol intake can help reduce gout attacks, as alcohol can increase uric acid levels.

C. Limiting fluid intake is not recommended; instead, increased hydration is beneficial for flushing uric acid from the system.

D. Aspirin is generally avoided in gout, as it can increase uric acid levels and worsen symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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