The critical care nurse is giving end-of-shift report on a client.
The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?
Stupor.
Somnolence.
Normal.
Deep coma.
The Correct Answer is D
Choice A rationale
Stupor refers to a state of near-unconsciousness or insensibility, where the patient can be briefly aroused by vigorous or repeated stimuli.
Choice B rationale
Somnolence refers to a state of strong desire for sleep or sleeping for unusually long periods (drowsiness), but it is not as severe as stupor or coma.
Choice C rationale
Normal consciousness means the patient is awake, alert, and responsive to their environment with no neurological deficits.
Choice D rationale
A score of 6 on the Glasgow Coma Scale indicates deep coma, where the patient has minimal to no response to stimuli, indicating severe brain injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Selective estrogen receptor modulators (SERMs) are used for osteoporosis but are not typically the first-line treatment. They help to maintain bone density by mimicking estrogen's beneficial effects on bone.
Choice B rationale
Calcitonin is used to treat osteoporosis but is not considered a first-line medication. It works by inhibiting bone resorption, which helps to slow bone loss.
Choice C rationale
Bisphosphonates are the first-line medication for treating and preventing osteoporosis. They work by inhibiting bone resorption, which helps to maintain or increase bone density and reduce the risk of fractures.
Choice D rationale
Anabolic agents, such as parathyroid hormone analogs, are used for osteoporosis but are typically reserved for severe cases or when other treatments are not effective. They work by stimulating bone formation.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Tachycardia is not a symptom of Cushing's triad; it is often associated with other conditions such as stress or heart problems.
Choice B rationale
Bradypnea is a hallmark of Cushing's triad, indicating decreased respiratory rate due to increased intracranial pressure.
Choice C rationale
Hypertension is a key component of Cushing's triad, caused by increased intracranial pressure leading to elevated blood pressure.
Choice D rationale
Bradycardia, or a slower than normal heart rate, is a symptom of Cushing's triad, resulting from increased pressure in the brain affecting the heart rate.
Choice E rationale
Pupillary constriction is not typically associated with Cushing's triad; it is usually related to other neurological conditions.
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