Assessment of the client reveals that he is unresponsive to all stimuli and his eyes remain closed. The nurse documents the client's level of consciousness as which of the following?
Obtunded
Stupor
Coma
Lethargy
The Correct Answer is C
A. Obtunded: Obtunded describes a state where a person has reduced alertness and is difficult to arouse but can respond to stimuli, such as verbal commands or physical touch. The client’s eyes remain closed and they are unresponsive to all stimuli, which is more severe than obtunded.
B. Stupor: Stupor is a condition where a person is in a near-unconscious state and responds only to vigorous or painful stimuli. Although the client is unresponsive to all stimuli, stupor usually involves some minimal response to pain or other strong stimuli, which doesn’t match the complete unresponsiveness described.
C. Coma: A coma is a profound state of unconsciousness where a person is unresponsive to all stimuli, including verbal, visual, and painful stimuli, and their eyes remain closed. This description matches the client’s condition of being unresponsive and with closed eyes.
D. Lethargy: Lethargy is characterized by excessive drowsiness or a reduced level of consciousness where the individual can be aroused with minimal effort. This state does not accurately describe a client who is unresponsive to all stimuli and whose eyes remain closed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Monthly: Performing testicular self-examination (TSE) monthly is recommended to help men become familiar with the normal size and feel of their testicles. Regular self-examinations increase the likelihood of detecting any abnormalities early, which is crucial for effective treatment if testicular cancer or other issues are detected.
B) Quarterly: Quarterly self-examination is less frequent than recommended. Monthly self-examination provides a more consistent and routine approach to checking for any changes in the testicles, which is essential for early detection of potential issues.
C) Bimonthly: Bimonthly self-examination would be less frequent than recommended. Monthly self-examination is considered more effective in maintaining awareness of changes in testicular health and detecting any abnormalities early.
D) Weekly: Weekly self-examination is more frequent than necessary. Monthly examination is sufficient to familiarize oneself with the normal state of the testicles and to notice any unusual changes that may require further investigation.
Correct Answer is C
Explanation
A. Glenohumeral joint: The glenohumeral joint is the shoulder joint. Pain with chewing is unlikely to be related to issues with the shoulder joint, as this joint is not involved in the chewing process.
B. Sternoclavicular joint: The sternoclavicular joint is where the clavicle meets the sternum. Problems here might affect shoulder and chest movement, but they would not typically cause pain specifically related to chewing.
C. Temporomandibular joint (TMJ): The TMJ is directly involved in the movement of the jaw, which is essential for chewing. Chronic pain during chewing often indicates a problem with the TMJ, such as TMJ disorder, which can cause pain, clicking, and other issues when moving the jaw.
D. Acromioclavicular joint: The acromioclavicular joint is located at the top of the shoulder where the clavicle meets the acromion of the scapula. This joint primarily affects shoulder movement, not chewing.
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