A nurse is collecting data from a client who has a head injury. The client opens their eyes to verbal stimuli, obeys commands, and is making incomprehensible sounds. Which of the following scores should the nurse document according to the Glasgow Coma Scale?
Explanation & Rationale
The scenario presents a neurological evaluation of a head injury client. Knowledge of the Glasgow Coma Scale criteria, scoring parameters for eye-opening, verbal response, and motor function must be applied to calculate the correct composite score. Choice A rationale A score of 11 underestimates the client's actual neurological status. This incorrect total fails to reflect the accurate combination of specific functional responses observed during the standardized assessment process. Choice B rationale The total score equals 12. Eye opening to speech scores 3 points, obeying motor commands scores 6 points, and incomprehensible verbal sounds score 2 points. Summing these specific neurological parameters yields exactly 12. Choice C rationale A score of 13 overestimates the client's responses. This value incorrectly assigns higher points than warranted by the client's exhibited clinical behaviors in eye, verbal, or motor categories. Choice D rationale A score of 14 indicates a higher level of consciousness than present. This total does not match the clinical presentation of making incomprehensible sounds and opening eyes only to verbal stimuli.