The nurse is performing a neurologic assessment of a 41-year-old patient the patient is able to open eyes to pain, uses inappropriate words, and has flexion withdrawal from pain. What is their GCS score?
9
7
5
12
The Correct Answer is A
The Glasgow Coma Scale (GCS) measures three aspects: Eye response, verbal response, and motor response.
Eye response: Opens eyes to pain (score 2).
Verbal response: Uses inappropriate words (score 3). Motor response: Flexion withdrawal from pain (score 4). Total GCS = 2 (eyes) + 3 (verbal) + 4 (motor) = 9.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. UV rays from the sun can cause skin damage and contribute to skin cancer, even in the winter months when the sun may seem less intense. Sunscreen is necessary year-round, as UV radiation can still reach the skin through clouds and reflections from surfaces like snow or water.
B. Tanning beds are a significant risk factor for skin cancer, as they emit UVA and UVB radiation, both of which can damage the skin and increase the risk of melanoma and other types of skin cancer. The nurse should educate the client that tanning beds should be avoided.
C. While individuals with darker skin have a lower risk of developing skin cancer compared to those with lighter skin, they are still at risk for certain types of skin cancer, particularly melanoma. It's important for people of all skin tones to practice sun safety and undergo regular skin checks.
D. Skin cancer, particularly melanoma, has a genetic component, meaning those with a family history of melanoma are at a higher risk. A family history of skin cancer increases the risk, and the client should be encouraged to have regular skin exams and protect their skin from the sun.
Correct Answer is ["A","C","E"]
Explanation
A. A family history of skin cancer can increase the risk of developing the condition.
B. While individuals with dark skin have a lower risk of developing skin cancer, they are not immune to it, and this option is not as strong a risk factor as others.
C. Prior skin injuries, such as burns or scars, can increase the likelihood of skin cancer developing in those areas.
D. Skin cancer risk generally increases with age, making this not a strong risk factor.
E. UV light is a major risk factor for developing skin cancer due to its damage to skin cells and DNA.
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