Asked by Clash Clans on Jun 24, 2024

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The nurse is performing a Glasgow Coma Scale on a school-age child with a head injury. The child opens eyes spontaneously, obeys commands, and is oriented to person, time, and place. Which is the score the nurse should record?

A) 8
B) 11
C) 13
D) 15

Glasgow Coma Scale

A clinical scale used to assess the consciousness level of a person following a head injury.

Opens Eyes

Describes the voluntary or reflex action of eyelid movement, resulting in the eyes being exposed to the environment or stimuli.

Oriented

Being aware of one's own self, location, and the current time; a state of mental alertness and understanding of one's environment.

  • Apply and interpret the Glasgow Coma Scale in the assessment of a child's level of consciousness post-head injury.
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AF
Amiyah FergusonJun 26, 2024
Final Answer :
D
Explanation :
The Glasgow Coma Scale (GCS) consists of a three-part assessment: eye opening, verbal response, and motor response. Numeric values of 1 through 5 are assigned to the levels of response in each category. The sum of these numeric values provides an objective measure of the patient's level of consciousness (LOC). A person with an unaltered LOC would score the highest, 15. The child who opens eyes spontaneously, obeys commands, and is oriented is scored at a 15.