A client exhibiting an altered level of consciousness (LOC) due to blunt force trauma to the head is admitted to the ED. The nurse should gauge the client's LOC on the results of what diagnostic tool?

Monro-Kellie hypothesis

Glasgow Coma Scale

Cranial nerve function

Mental status examination

Answer and Explanation

The Correct Answer is B

A. Monro-Kellie hypothesis: The Monro-Kellie hypothesis explains the relationship between the volumes of brain tissue, blood, and cerebrospinal fluid in the cranium, but it is not a diagnostic tool for assessing LOC.

B. Glasgow Coma Scale: The Glasgow Coma Scale (GCS) is a standardized tool used to assess a client's level of consciousness, particularly in cases of head injury. It evaluates eye opening, verbal response, and motor response.

C. Cranial nerve function: Cranial nerve assessment is important in evaluating neurological function, but it is not a comprehensive tool for gauging LOC.

D. Mental status examination: A mental status examination assesses cognitive functions, but the Glasgow Coma Scale is more appropriate for evaluating LOC in the context of head trauma.

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Correct Answer is A

Explanation

A. drowsiness: Drowsiness is a common side effect of many antianxiety medications, especially benzodiazepines. This can impair the client’s ability to safely drive or perform tasks requiring alertness, making this the most appropriate choice.

B. confusion: While confusion can occur with some antianxiety drugs, it is less common than drowsiness and typically occurs at higher doses or with prolonged use.

C. behavior changes: Behavior changes can occur but are less common and are not the primary reason for caution with activities requiring mental alertness.

D. sleep disorders: Sleep disorders are not a typical side effect of antianxiety medications; in fact, these drugs are often used to treat sleep disturbances.

A. Dental procedures B. Meeting strangers C. Being bitten by a dog D. Having a car accident

Correct Answer is B

Explanation

A. Dental procedures: Fear of dental procedures is more indicative of a specific phobia, not social phobia.

B. Meeting strangers: Social phobia (social anxiety disorder) involves intense fear and anxiety in social situations where one might be judged, embarrassed, or scrutinized by others. Meeting strangers is a common fear for those with social phobia.

C. Being bitten by a dog: This is more consistent with a specific phobia related to animals, not social phobia.

D. Having a car accident: Fear of car accidents is not typically related to social phobia but could be linked to a specific or generalized anxiety disorder.

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A client exhibiting an altered level of consciousness (LOC) due to blunt force trauma to the head is admitted to the ED. The nurse should gauge the client's LOC on the results of what diagnostic tool?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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