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
Furuncles, also known as boils, are deep folliculitis caused by bacterial infection, not sebum blockage.
Choice B rationale
Carbuncles are clusters of furuncles connected under the skin and are also caused by bacterial infection, not sebum blockage.
Choice C rationale
Comedones are primary lesions of acne caused by the blockage of hair follicles by sebum and keratin. They can be open (blackheads) or closed (whiteheads).
Choice D rationale
Striae, also known as stretch marks, are caused by the tearing of the dermis due to rapid stretching of the skin and are not related to sebum blockage in hair follicles. .
Correct Answer is A
Explanation
Choice A rationale
The oculomotor nerve (cranial nerve III) is responsible for innervating the muscles that move the eye and lift the eyelid, as well as controlling pupil constriction and lens shape for focusing.
Choice B rationale
The vestibulocochlear nerve (cranial nerve VIII) is involved in hearing and balance, not in the movement of eye muscles or eyelids.
Choice C rationale
The facial nerve (cranial nerve VII) controls muscles of facial expression, taste sensations from the anterior two-thirds of the tongue, and functions in tear and saliva production.
Choice D rationale
The trigeminal nerve (cranial nerve V) is responsible for sensation in the face and motor functions such as biting and chewing, not for eye movements.
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