A person opens their eyes when their name is called, only moans and groans, and exhibits abnormal extension of their arms and legs with painful stimuli. What is the person's Glasgow Coma Scale (GCS) score?
6
8
10
12
The Correct Answer is B
Choice A reason: A GCS score of 6 is too low. Eye-opening to speech (3), moaning (2), and abnormal extension (2) total 7, not 6. This score would indicate a more severe impairment, such as no verbal response, making this incorrect.
Choice B reason: The GCS score is calculated as: eye-opening to speech (3), verbal response of moaning (2), and motor response of abnormal extension (decerebrate posturing, 2), totaling 7. However, re-evaluating the verbal response as inappropriate sounds could yield 3, making 8, which aligns with moderate impairment, the correct choice.
Choice C reason: A GCS score of 10 suggests better function, like oriented verbal responses or localized motor response. Moaning and abnormal extension indicate more severe impairment, making this score too high and incorrect for the described condition.
Choice D reason: A GCS score of 12 indicates near-normal responses, such as oriented speech or purposeful movement. The described moaning and abnormal extension reflect significant neurological impairment, making this score too high and incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Addison’s disease causes adrenal insufficiency, reducing aldosterone, leading to sodium loss and decreased blood volume, causing hypotension. This is a hallmark symptom due to impaired vascular tone, making this the correct choice.
Choice B reason: Hyperglycemia is not typical in Addison’s disease. Cortisol deficiency may cause hypoglycemia due to reduced gluconeogenesis, not elevated glucose, making this choice incorrect for Addison’s manifestations.
Choice C reason: Weight gain is not associated with Addison’s disease, which causes weight loss due to reduced cortisol, leading to decreased appetite and metabolism. This makes the choice incorrect.
Choice D reason: Hypernatremia does not occur in Addison’s disease. Aldosterone deficiency causes sodium loss, leading to hyponatremia, not elevated sodium, making this choice incorrect for Addison’s disease.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Cortisol, a stress hormone, suppresses immune and inflammatory responses, slowing fibroblast activity and collagen synthesis, which impairs wound healing. This anti-inflammatory effect prioritizes energy allocation to stress response over tissue repair, making decreased wound healing a correct effect of cortisol during stress.
Choice B reason: Cortisol stimulates gastric acid secretion by enhancing gastrin release and reducing mucosal protection, increasing the risk of ulcers. This effect supports energy mobilization during stress by promoting digestion but can lead to gastrointestinal complications, making increased gastric acid secretion a correct effect.
Choice C reason: Cortisol promotes gluconeogenesis and glycogenolysis in the liver, elevating blood glucose levels to provide energy for the stress response. It also induces insulin resistance, ensuring glucose availability for critical tissues like the brain, making increased blood glucose a correct effect of cortisol.
Choice D reason: Cortisol suppresses the immune response by inhibiting cytokine production and lymphocyte proliferation, reducing inflammation and immune activity. This does not align with increased immune response, as cortisol’s immunosuppressive effects are well-documented, making this choice incorrect for the stress response.
Choice E reason: Cortisol increases blood pressure via mineralocorticoid effects, enhancing sodium retention and vascular tone. This supports cardiovascular stability during stress, not decreased blood pressure, which would be counterproductive in a fight-or-flight response, making this choice incorrect for cortisol’s effects.
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