Á nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
The client is alert and oriented.
Indicates stable neurologic status
The client needs total nursing care.
The client is in a deep coma.
The Correct Answer is C
A. A score of 6 indicates a severe impairment in consciousness, not alertness and orientation.
B. A score of 6 does not indicate a stable neurologic status but rather severe brain injury or impairment.
C. Because a score of 6 indicates the client is likely unresponsive or has very limited responses to stimuli, they cannot perform activities of daily living or protect their own airway. They require comprehensive, total nursing care.
D. While a GCS of 3 indicates deep coma, a score of 6 reflects severe impairment, though not necessarily a deep coma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Difficulty reading (alexia) is typically associated with left hemisphere strokes.
B. Aphasia (language impairment) is more commonly associated with left hemisphere damage.
C. Right hemiparesis would result from a left hemisphere stroke.
D. Right hemisphere strokes often result in cognitive and perceptual deficits, such as visual-spatial issues and prosopagnosia, which is the inability to recognize familiar faces.
Correct Answer is D
Explanation
Rationale:
A. Sitting up for prolonged periods can lead to hip contractures and should be limited.
B. Elevating the stump on a pillow is discouraged after the first 24-48 hours post-op, as it can lead to contracture formation.
C. Elevating the foot of the bed is not recommended as it may increase the risk of contractures and does not promote stump shaping.
D. Lying prone several times per day helps prevent hip flexion contractures, a common complication after an above-the-knee amputation.
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