The paramedics transport an adult involved in a motor vehicle ...

[lidoalex]

The paramedics transport an adult involved in a motor vehicle accident to the emergency department.
 
  On physical examination, the patient's level of consciousness is reported as opening eyes to pain and responding with inappropriate words and flexion withdrawal to painful stimuli. The nurse correctly identifies the patient's Glasgow Coma Scale score as
  a. 5.
  b. 7.
  c. 9.
  d. 11.

Question 2

The nurse considers several new female patients to receive additional health education on the need for more frequent Pap smears and gynecological examinations.
 
  Which of the following assessment findings reveals the patient at highest risk for cervical cancer and thus having the greatest need for patient education?
  a. Nonsmoker, 13 years old, not sexually active
  b. Social smoker, 15 years old, celibate
  c. 22 years old, smokes 1 pack of cigarettes per day, has multiple sexual partners
  d. 50 years old, stopped smoking 30 years ago, history of hysterectomy

[ms_sulzle]

Answer to Question 1

ANS: C
According to the guidelines of the Glasgow Coma Scale, the patient has a score of 9. Opening eyes to pain is 2 points; inappropriate word use is 3 points; and flexion withdrawal is 4 points. The total for this patient is 2 + 3 + 4 = 9.

Answer to Question 2

ANS: C
Females considered to be at higher risk include those who smoke and are over 21 with weak immune systems, multiple sex partners, and a history of sexually transmitted infections. Of all the assessment findings listed, the 22-year-old smoker with multiple sexual partners has the greatest number of risk factors for cervical cancer. The other patients are at lower risk.

[lidoalex]

Thank you!

[ms_sulzle]

Always glad to help...