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
Explanation
A. Primary disorders affect hormone receptors, while secondary disorders affect hormone production: While receptor sensitivity may play a role in some conditions, the main distinction between primary and secondary endocrine disorders is based on the location of dysfunction, not receptor or hormone function alone.
B. Primary disorders originate in the target organ, while secondary disorders originate in the pituitary gland or hypothalamus: In primary disorders, the problem lies in the endocrine gland itself (e.g., the thyroid gland in primary hypothyroidism), while secondary disorders result from dysfunction in regulatory centers like the pituitary or hypothalamus.
C. Primary disorders involve the hypothalamus, while secondary disorders involve the target organ: This reverses the correct relationship. Secondary disorders typically involve the hypothalamus or pituitary, not primary disorders.
D. Primary disorders are caused by external factors, while secondary disorders are caused by genetic mutations: While both external and genetic factors can contribute to endocrine disorders, this distinction does not define the difference between primary and secondary types. The classification is based on the anatomical source of dysfunction.
Correct Answer is "{\"xRanges\":[118.328125,148.328125],\"yRanges\":[263,293]}"
Explanation
McBurney's point is a specific location on the lower right quadrant of the abdomen that is used in diagnosing acute appendicitis. It is situated one-third of the distance from the right anterior superior iliac spine to the umbilicus.Tenderness at McBurney's point is a key clinical sign of appendicitis, often indicating that the inflammation has progressed beyond the appendix itself and is affecting the peritoneum.
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