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    Hesi rn health assessment proctored exam

    The nurse learns in report that a client is stuporous. Which assessment should the nurse perform to confirm this report?

    Explanation & Rationale

    A. Facial asymmetry may indicate neurological issues, but it does not directly assess the stuporous state. B. A stuporous state is characterized by a reduced level of consciousness, and the nurse should assess the client’s response to stimuli to confirm the report of stupor. C. A positive Romberg sign indicates a balance issue, but it is not directly related to confirming a stuporous state. D. While pupillary response is important, it does not provide sufficient information to confirm a stuporous state without assessing responsiveness to stimuli.

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