How to determine gcs - Study guides, Class notes & Summaries

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A. His Glasgow Coma Scale (GCS) score is 15 B. His wife states that this was his "usual" seizure C. He has experienced seizures since he was 20 D. He is currently not ...

ALL HESI EXIT Questions and Answers Test Bank; A+ Rated Guide STUDY FOR EXIT HESI/ATI EXAM ALL HESI EXIT Questions and Answers Test Bank; A+ Rated Guide (2022) 271. A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take? (correct Answer- Administer the medication as prescribed with a glass of water 272. Which client should the nurse assess frequently because of the risk for overflow incontinence? A client Who is confused and f...

NUR265/ NUR 265 Exam 3: (2024/ 2025 Update) Advanced Med-Surg Review | Questions and Verified Answers| 100% Correct- Galen Q: What activities are associated with a high risk of TBI in young people, and how can an interdisciplinary conference benefit the care of a patient with TBI? Answer: Activities associated w TBIs are driving, skateboarding, ATV use, motorcycles, etc. Teach to wear seatbelts, do not drive under the influence, helmets for bikes, skateboards, motorcycles, etc. The us...

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a "body-wracking dry cough" of 6 weeks duration. C. ...

  NURS263 Exam 1 (100 out of 100) Questions and Answers (Latest Update) GRADED A -Rasmussen nurses role in health assessment complete a holistic assessment - LOOK AT THE WHOLE PICTURE (meds, health, foods, family history etc assessment phase of the nursing process -gather information about patient's condition -focuses on patient and family's needs, values, and preferences -identifies key members of health care team needed -includes health history, review of systems, physical e...

PREDICTOR HESSI 05/2018 1. An older adult resident of a long-term care facility has a 5-year history of hypertension. The client has a headache and rate the pain 5 on a pain scale 0 to 10. The client’s blood pressure is currently 142/89. Which interventions should the nurse implement? (Select all that apply) A. Administer a daily dose of lisinopril as scheduled. B. Assess the client for postural hypotension. C. Notify the healthcare provider immediately D. Provide a PRN dose of acetamin...

ITLS FINAL EXAM Questions and Answers Latest Updated 2024/2025 | 100% Correct | Verified. what are trauma injuries involved with hitting chest on a steering wheel - ANSWER pulmonary contusion, pneumothorax, pericardial fusion, flail chest, cardiac tamponade rapid trauma survey - ANSWER head and neck chest breath sounds abdomen pelvis lower and upper extremities obvious swelling and deforming posterior vital signs pupils GCS Glasgow Coma Scale (GCS) score - ANSWER Eyes 4 Verbal 5 M...

1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next ...

ITLS FINAL EXAM Questions and Answers, Latest Updated 2024/2025 | 100% Correct | Verified. rapid exam and transport Vitals and non critical treatments done during transport - ANSWER if unsure or multiple system trauma, what should you do trauma with a single system injury that presents with a stable patient, what should you do? - ANSWER focused exam what are trauma injuries involved with hitting chest on a steering wheel - ANSWER pulmonary contusion, pneumothorax, pericardial fusion, flail ...

HESI PN Gerontology Exam (Latest 2023/ 2024 Update) Questions and Verified Answers with Rationales| 100% Correct| Grade A Q: An older female client who has been taking hydrocodone/acetaminophen (Lortab) q4 hours for chronic back pain for the past 5 years, tells the practical nurse that she cannot live without her pain pills. When asked if she is addicted, the client states that she is not an addict because the healthcare provider prescribed the pain pills. Which coping mechanism should the PN...