Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

Answer and Explanation

The Correct Answer is D

A.   A GCS of 15 indicates full consciousness and alertness.
B.   A GCS of 12 indicates moderate impairment of consciousness.
C.   A GCS of 6 indicates severe impairment, but not necessarily comatose.
D.   A GCS of 8 or below is considered to indicate a comatose state.

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Correct Answer is A

Explanation

A. UV rays from the sun can cause skin damage and contribute to skin cancer, even in the winter months when the sun may seem less intense. Sunscreen is necessary year-round, as UV radiation can still reach the skin through clouds and reflections from surfaces like snow or water.
B. Tanning beds are a significant risk factor for skin cancer, as they emit UVA and UVB radiation, both of which can damage the skin and increase the risk of melanoma and other types of skin cancer. The nurse should educate the client that tanning beds should be avoided.
C. While individuals with darker skin have a lower risk of developing skin cancer compared to those with lighter skin, they are still at risk for certain types of skin cancer, particularly melanoma. It's important for people of all skin tones to practice sun safety and undergo regular skin checks.

D. Skin cancer, particularly melanoma, has a genetic component, meaning those with a family history of melanoma are at a higher risk. A family history of skin cancer increases the risk, and the client should be encouraged to have regular skin exams and protect their skin from the sun.

A. Confluent B. Discrete C. Grouped D. Annular

Correct Answer is C

Explanation

A. Confluent lesions merge together, forming a larger area of affected skin, which is not the case here.
B. Discrete lesions are separate and distinct from each other, which doesn't match the description of clusters.
C. Grouped lesions are those that appear in clusters, which fits the assessment finding.
D. Annular lesions have a ring-like appearance, typically seen in conditions like ringworm, and do not fit the description of clustered lesions.

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Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

When assessing a client's skin, the nurse finds clusters of lesions. How would the nurse document the lesions?

Correct Answer is C

Explanation

When performing a skin assessment, which areas of the skin are at the highest risk for skin breakdown? Select all that apply.

A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer? (Select all that apply.)

A nurse in a provider's office is caring for a client who has a new diagnosis of tinea pedis. Which of the following findings should the nurse expect?

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client?

Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?