The paramedics found D.M. lying on the side of the
road. He apparently lost control of his motorcycle and struck a concrete road
barrier. There was no one else involved in the accident. D.M. appeared very
dazed but was able to speak his name and address. He does not remember
what happened and is not oriented to time or place.
The paramedics put a cervical collar on as a precaution until his neck is
cleared of any injuries. They also started an IV and have been infusing D5W
at a keep-open rate.
Vital signs were taken right before he was brought into the emergency
department. His BP was 118/72, his heart rate was 68, and his respiratory
rate was 16. His lungs were clear and he was in normal sinus rhythm on the
monitor.
His family has been notified, and his wife is on the way to the hospital. The
nursing assessment of D.M. should include calculating a Glasgow Coma
Score for D.M.
Quest
i
onnumber1
Which items will the nurse assess? Select all that apply.
Eye opening
Pupil reactivity
Motor response
Verbal response
Correct
, The paramedics found D.M. lying on the side of the
road. He apparently lost control of his motorcycle and struck a concrete road
barrier. There was no one else involved in the accident. D.M. appeared very
dazed but was able to speak his name and address. He does not remember
what happened and is not oriented to time or place.
The paramedics put a cervical collar on as a precaution until his neck is
cleared of any injuries. They also started an IV and have been infusing D5W
at a keep-open rate.
Vital signs were taken right before he was brought into the emergency
department. His BP was 118/72, his heart rate was 68, and his respiratory
rate was 16. His lungs were clear and he was in normal sinus rhythm on the
monitor.
His family has been notified, and his wife is on the way to the hospital. The
nursing assessment of D.M. should include calculating a Glasgow Coma
Score for D.M. D.M. is now not responding to verbal commands, but does
respond somewhat to painful stimulus when his sternum is pressed upon. He
is opening his eyes and flexing his arm to painful stimuli.
Quest
i
onnumber2
Based on this recent assessment of D.M., what is the Glasgow Coma Scale?
6
8
10
12
Correct
road. He apparently lost control of his motorcycle and struck a concrete road
barrier. There was no one else involved in the accident. D.M. appeared very
dazed but was able to speak his name and address. He does not remember
what happened and is not oriented to time or place.
The paramedics put a cervical collar on as a precaution until his neck is
cleared of any injuries. They also started an IV and have been infusing D5W
at a keep-open rate.
Vital signs were taken right before he was brought into the emergency
department. His BP was 118/72, his heart rate was 68, and his respiratory
rate was 16. His lungs were clear and he was in normal sinus rhythm on the
monitor.
His family has been notified, and his wife is on the way to the hospital. The
nursing assessment of D.M. should include calculating a Glasgow Coma
Score for D.M.
Quest
i
onnumber1
Which items will the nurse assess? Select all that apply.
Eye opening
Pupil reactivity
Motor response
Verbal response
Correct
, The paramedics found D.M. lying on the side of the
road. He apparently lost control of his motorcycle and struck a concrete road
barrier. There was no one else involved in the accident. D.M. appeared very
dazed but was able to speak his name and address. He does not remember
what happened and is not oriented to time or place.
The paramedics put a cervical collar on as a precaution until his neck is
cleared of any injuries. They also started an IV and have been infusing D5W
at a keep-open rate.
Vital signs were taken right before he was brought into the emergency
department. His BP was 118/72, his heart rate was 68, and his respiratory
rate was 16. His lungs were clear and he was in normal sinus rhythm on the
monitor.
His family has been notified, and his wife is on the way to the hospital. The
nursing assessment of D.M. should include calculating a Glasgow Coma
Score for D.M. D.M. is now not responding to verbal commands, but does
respond somewhat to painful stimulus when his sternum is pressed upon. He
is opening his eyes and flexing his arm to painful stimuli.
Quest
i
onnumber2
Based on this recent assessment of D.M., what is the Glasgow Coma Scale?
6
8
10
12
Correct
