A patient opens the eyes only when spoken to, speaks in confused sentences and withdraws the arm from painful stimulation. What Glasgow Coma Scale score should the nurse record?
Correct answer: C. 11
- A. 9
- B. 10
- C. 11
- D. 12
Explanation
The score is eye opening 3 for response to voice, verbal response 4 for confusion, and motor response 4 for withdrawal from pain, giving a total of 11. The Glasgow Coma Scale should be documented by its separate components as well as the total.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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