The nurse is caring for a client with brain trauma who is in a coma. The client's Glascow Coma Scale is 6. Which response would the nurse expect the client to have?
Able to localize pain
Is verbally responsive, but confused
Moves arms as directed
Opens eye to deep pain only
The Correct Answer is D
A. Able to localize pain: A score of 6 is too low for a client to localize pain, which would require higher motor function.
B. Is verbally responsive, but confused: Verbal responsiveness would require a higher score, as a GCS of 6 indicates severe impairment.
C. Moves arms as directed: Following commands is consistent with a higher GCS score.
D. Opens eyes to deep pain only: This response aligns with the minimal responsiveness expected for a GCS score of 6.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Able to localize pain: A score of 6 is too low for a client to localize pain, which would require higher motor function.
B. Is verbally responsive, but confused: Verbal responsiveness would require a higher score, as a GCS of 6 indicates severe impairment.
C. Moves arms as directed: Following commands is consistent with a higher GCS score.
D. Opens eyes to deep pain only: This response aligns with the minimal responsiveness expected for a GCS score of 6.
Correct Answer is ["A","B","C","D"]
Explanation
A. Hypothermia: Hypothermia can slow the heart rate, leading to bradycardia.
B. Calcium channel blockers medications: These medications can slow the conduction through the AV node, causing bradycardia.
C. Athletic conditioning: Athletes often have a lower resting heart rate due to increased parasympathetic tone, which can lead to sinus bradycardia.
D. Beta-blocker medications: Beta-blockers decrease heart rate by blocking the effects of adrenaline on the heart.
E. Hyperthyroidism: Hyperthyroidism usually leads to tachycardia, not bradycardia, due to increased metabolism.
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