This topic contains a solution. Click here to go to the answer

Author Question: Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head ... (Read 58 times)

KimWrice

  • Hero Member
  • *****
  • Posts: 579
Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?
 
  a. Blood pressure
  b. Cranial nerve function
  c. Head circumference
  d. Verbal responsiveness

Question 2

Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation?
 
  a. Change in level of consciousness
  b. Inability to focus visually
  c. Loss of primitive reflexes
  d. Unequal pupil size



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

LP

  • Sr. Member
  • ****
  • Posts: 302
Answer to Question 1

ANS: D
Components of the GCS include eye opening, motor responsiveness, and verbal responsiveness. The nurse would want to assess the blood pressure, but this is not a component of the coma scale. Assessment of cranial nerve function is appropriate as alterations such as cranial nerve VI palsies may occur, but this is not part of the coma scale. Increases in head circumference are associated with alterations in intracranial pressure in infants, but this is not part of the coma scale.

Answer to Question 2

ANS: A
A change in level of consciousness is the earliest and most sensitive indication of a change in intracranial processing. This is assessed with the Glasgow Coma Scale (GCS), which assesses eye opening and verbal and motor response. The inability to focus may indicate a change, but it is not one of the earliest indicators or a component of the GCS. Primitive reflexes refer to those reflexes found in a normal infant that disappear with maturation. These reflexes may reappear with frontal lobe dysfunction and may be tested for with a suspected brain injury, so it would be the reappearance of primitive reflexes. A change in pupil size or unequal pupils may indicate a change, but they are not one of the earliest indicators or a component of the GCS.




KimWrice

  • Member
  • Posts: 579
Reply 2 on: Jul 22, 2018
Thanks for the timely response, appreciate it


adf223

  • Member
  • Posts: 304
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

For a complete list of videos, visit our video library