RN Comprehensive Predictor 2023 Proctored Exam
A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse expect?
Explanation & Rationale
A. An inability to obey commands suggests a lower motor response score. B. Withdrawal from pain is seen in clients with a lower GCS score (e.g., 4–6). C. A GCS score of 15 (the highest possible score) indicates: Eye opening: Spontaneous (4 points), verbal response: Oriented (5 points), motor response: Obeys commands (6 points) D. Opening eyes to sound is a GCS score of 3, not 15.
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