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.

Answer and Explanation

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. Clients with a GCS of 6 typically need total care, as they are unable to perform self-care activities and may be unable to respond to commands.

D. While a GCS of 3 indicates deep coma, a score of 6 reflects severe impairment, though not necessarily a deep coma.

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Correct Answer is A

Explanation

A. While excessive strenuous exercise can potentially worsen symptoms, regular moderate exercise is generally beneficial for clients with SLE, helping maintain joint flexibility and muscle strength.

B. Infections can exacerbate SLE symptoms and lead to flares due to immune system involvement.

C. Pregnancy can also exacerbate SLE due to hormonal changes affecting the immune system.

D. Sunlight is known to trigger flares in SLE due to photosensitivity.

A. Obtain a dietary history from the client. B. Review the client's electrolyte values. C. Investigate the client's emotional concerns. D. Check the client's perianal skin integrity.

Correct Answer is B

Explanation

A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.

B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.

C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.

D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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