Which of the following would be a severe decrease in the level of consciousness?
The patient requires painful stimuli to elicit a response and has no purposeful movement
The patient is drowsy but responds to verbal stimuli appropriately
The patient responds to commands but is slow to do so
The patient can follow simple commands like "open your eyes”
The Correct Answer is A
A. The patient requires painful stimuli to elicit a response and has no purposeful movement: This indicates a severe decrease in consciousness where the patient is minimally responsive, unable to respond to verbal stimuli, and shows no purposeful movement. It reflects significant brain dysfunction and is often seen in severe brain injury or coma.
B. The patient is drowsy but responds to verbal stimuli appropriately: This describes mild to moderate impairment of consciousness, where the patient is lethargic but still able to respond meaningfully to verbal commands, indicating a less severe condition.
C. The patient responds to commands but is slow to do so: A slowed response suggests some cognitive or neurological impairment but not a severe decrease in consciousness. The patient remains alert enough to follow instructions, albeit slowly.
D. The patient can follow simple commands like "open your eyes": This shows the patient is conscious and able to interact, reflecting a mild or normal level of consciousness rather than severe impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Traveling abroad recently: While international travel can expose individuals to infectious diseases, it is not the most concerning factor in this case compared to his communal living situation.
B. Living in a large, crowded communal setting: Crowded living conditions significantly increase the risk of meningitis transmission, especially for bacterial types like Neisseria meningitidis which spread via respiratory droplets.
C. An infection of the brain tissue, typically due to a virus or bacteria: This describes encephalitis, not meningitis. Meningitis affects the protective membranes, not the brain tissue itself.
D. An inflammation of the protective membranes around the brain and spinal cord (meninges): This is the correct definition of meningitis and is the pathological hallmark of the disease.
E. Having an allergy to medications: Having an allergy to medications is important for safe patient care and medication administration, but it is not a risk factor for acquiring meningitis.
F. An inflammation of the lungs caused by a viral or bacterial infection: This describes pneumonia, not meningitis. It is unrelated to the direct cause of meningitis.
Correct Answer is D
Explanation
A. Presence of insulin autoantibodies that destroy beta cells in the pancreas: This describes the autoimmune process characteristic of Type 1 diabetes mellitus, where the immune system attacks pancreatic beta cells, leading to insulin deficiency.
B. Need for lifelong insulin injections: Lifelong insulin therapy is typically required in Type 1 diabetes due to absolute insulin deficiency. Many individuals with Type 2 diabetes can manage their condition initially with lifestyle changes and oral medications.
C. Increase of glucagon secretion from beta cells of the pancreas: Glucagon is secreted by alpha cells, not beta cells, in the pancreas. Dysregulation of glucagon contributes to hyperglycemia but is not a defining feature distinguishing Type 2 diabetes.
D. Resistance to insulin by insulin-sensitive tissues: Type 2 diabetes is primarily characterized by insulin resistance, where muscle, fat, and liver cells do not respond properly to insulin, leading to elevated blood glucose levels despite normal or increased insulin production. This resistance is a hallmark feature distinguishing it from Type 1 diabetes.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.