The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?
24
12
15
6
The Correct Answer is D
A. A score of 24 would indicate a fully alert and responsive patient. The Glasgow Coma Scale ranges from 3 (deep coma) to 15 (fully awake).
B. A score of 12 indicates a moderate level of consciousness, not a coma.
C. A score of 15 indicates that the patient is fully conscious and alert.
D. A score of 6 indicates a coma and represents a very low level of consciousness, with minimal responses to stimuli.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While pressure on the TM joint could stimulate a response, it is not the most appropriate method for provocation of a response in an unconscious or semiconscious client.
B. This action can be used to assess for painful stimuli, but pressing on the sternum is a more effective method for provoking a response in non-responding clients.
C. Applying firm pressure to the sternum, or sternal rub, is an effective technique to stimulate a response from clients who are non-responsive to verbal stimuli.
D. While shaking might be used for awakening a client, it is not as reliable or effective as a sternal rub when assessing neurological response in acute stroke patients.
Correct Answer is D
Explanation
A. A score of 24 would indicate a fully alert and responsive patient. The Glasgow Coma Scale ranges from 3 (deep coma) to 15 (fully awake).
B. A score of 12 indicates a moderate level of consciousness, not a coma.
C. A score of 15 indicates that the patient is fully conscious and alert.
D. A score of 6 indicates a coma and represents a very low level of consciousness, with minimal responses to stimuli.
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