Which assessment tool is commonly used to evaluate the level of consciousness in a neurologically impaired patient?
Numerical Rating Scale
Wong-Baker FACES Pain Rating Scale
Visual Analog Scale
Glasgow Coma Scale
The Correct Answer is D
A. Numerical Rating Scale is used to assess pain intensity, not consciousness.
B. Wong-Baker FACES is also a pain assessment tool, mainly for children.
C. Visual Analog Scale measures subjective pain levels.
D. Glasgow Coma Scale (GCS) is the standard tool used to assess a patient’s level of consciousness, evaluating eye opening, verbal response, and motor response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ventricular fibrillation is a life-threatening arrhythmia, not a compensatory mechanism for heart failure.
B. Increased intracranial pressure (ICP) is unrelated to heart failure compensation.
C. The renin-angiotensin-aldosterone system (RAAS) is activated in heart failure to maintain blood pressure and perfusion. This leads to sodium and water retention, causing fluid buildup and edema.
D. Atrial flutter is a cardiac arrhythmia, not a compensatory mechanism causing fluid retention.
Correct Answer is C
Explanation
A. Trendelenburg position (head lower than feet) can increase intracranial pressure and is contraindicated.
B. Continuous rotation may increase ICP due to frequent position changes and is generally avoided.
C. Elevating the head of the bed to 30 degrees promotes venous drainage from the brain, helping reduce intracranial pressure while maintaining cerebral perfusion.
D. Keeping the head flat can impair venous drainage and increase ICP.
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