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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Positioning the client flat as directed is the priority intervention after a lumbar puncture to prevent cerebrospinal fluid (CSF) leakage, which can lead to a post-lumbar puncture headache. This position helps maintain normal CSF pressure and promotes sealing of the puncture site.

Choice B rationale

Leaving the client to rest without performing any assessments is not appropriate, as continuous monitoring is necessary to detect any complications such as bleeding or changes in neurological status. Regular assessments help ensure timely intervention if issues arise.

Choice C rationale

Providing caffeine-rich drinks is sometimes recommended to alleviate headaches caused by CSF leakage post-lumbar puncture. However, it is not the priority intervention immediately after the procedure, which focuses on positioning and monitoring.

Choice D rationale

Avoiding analgesic agents is incorrect. Pain management is an important aspect of care post-lumbar puncture, and appropriate analgesics should be administered as needed. The focus should be on positioning and monitoring, not withholding pain relief.

A. Water or saline. B. Sodium bicarbonate. C. Colloids. D. Medicated tars.

Correct Answer is D

Explanation

Choice A rationale

Water or saline baths can help cleanse and soothe the skin but do not specifically target psoriasis exacerbations. They are not the typical therapeutic solution for this condition.

Choice B rationale

Sodium bicarbonate baths may help with itching but are not specifically indicated for psoriasis. They are more commonly used for conditions like chickenpox or sunburn.

Choice C rationale

Colloids, such as oatmeal baths, can relieve itching and provide comfort but are not the primary therapeutic choice for psoriasis exacerbations.

Choice D rationale

Medicated tars are a well-known treatment for psoriasis. They help slow the rapid growth of skin cells, reduce inflammation, and relieve itching, making them effective for managing psoriasis symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?

Correct Answer is A

Explanation

A nurse practitioner prescribes a therapeutic bath for a client with an exacerbation of psoriasis. The nurse tells the client to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?

Correct Answer is D

Explanation

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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?