The nurse is caring for a client with brain trauma who is in a coma. The client's Glascow Coma Scale is 6. Which response would the nurse expect the client to have?

Able to localize pain

Is verbally responsive, but confused

Moves arms as directed

Opens eye to deep pain only

Answer and Explanation

The Correct Answer is D

A. Able to localize pain: A score of 6 is too low for a client to localize pain, which would require higher motor function.

B. Is verbally responsive, but confused: Verbal responsiveness would require a higher score, as a GCS of 6 indicates severe impairment.

C. Moves arms as directed: Following commands is consistent with a higher GCS score.

D. Opens eyes to deep pain only: This response aligns with the minimal responsiveness expected for a GCS score of 6.

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Correct Answer is ["B","E","F"]

Explanation

A. Amiodarone: This is an antiarrhythmic, not a vasopressor.

B. Dopamine: Dopamine has vasopressor effects, increasing blood pressure and cardiac output.

C. Adenosine: This is used to treat supraventricular tachycardia, not for vasopressor purposes.

D. Atropine: Atropine increases heart rate by inhibiting parasympathetic activity but is not a vasopressor.

E. Norepinephrine: Norepinephrine is a potent vasopressor that increases systemic vascular resistance and blood pressure.

F. Epinephrine: Epinephrine has vasopressor and inotropic effects, making it critical during cardiac arrest.

A. First degree heart block B. Second degree heart block C. Bundle branch block D. Sinus arrhythmia

Correct Answer is A

Explanation

A. First-degree heart block: A prolonged PR interval greater than 0.20 seconds, as seen in this case, indicates first-degree heart block, which is a delay in conduction at the AV node.

B. Second-degree heart block. Second-degree heart block is characterized by some PR intervals being prolonged with occasional dropped beats (non-conducted P waves).

C. Bundle branch block. Bundle branch block causes a wide QRS complex (greater than 0.12 seconds), which is not seen here.

D. Sinus arrhythmia. Sinus arrhythmia involves changes in heart rate due to respiratory cycles, not prolonged PR intervals.

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The nurse is caring for a client with brain trauma who is in a coma. The client's Glascow Coma Scale is 6. Which response would the nurse expect the client to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","E","F"]

Explanation

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Correct Answer is A

Explanation

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