Multiple Choice
The nurse assesses several clients using the Glasgow Coma Scale. Which scenario best demonstrates a correct application of this scale?
A) The nurse applies pressure to the nail bed, and the client tries to push the nurse's hand away. The nurse scores motor response as "localization of pain."
B) The nurse asks the client what day it is and the client says "banana." The nurse scores verbal response as "confused."
C) The nurse speaks with client and then the client's eyes open. The nurse scores eye opening as "spontaneous."
D) The nurse walks in the room and the client states "Hi honey. How are you?" The nurse scores verbal response as "oriented."
Correct Answer:

Verified
Correct Answer:
Verified
Q362: A client with chronic kidney disease has
Q363: The nurse assessing a client notices pearly
Q364: The nurse is assessing a client with
Q365: The clinic nurse performs an admission assessment
Q366: A client admitted with acute myocardial infarction
Q368: The nurse is providing education to a
Q369: The nurse assesses a client with Cushing
Q370: The nurse on the step-down cardiothoracic unit
Q371: The nurse is teaching an overweight 54-year-old
Q372: The nurse is caring for a client