the nurse is completing a glasgow coma scale assessment on a client with a traumatic brain injury. which of the following should the nurse include in the assessment? select all that apply.

Answers

Answer 1

In completing a Glasgow Coma Scale (GCS) assessment on a client with a traumatic brain injury, the nurse should include the following components:

Eye opening response: The nurse should assess the client's ability to open their eyes in response to stimuli. This can range from spontaneous eye opening to no eye opening.

Verbal response: The nurse should evaluate the client's verbalization and assess their ability to communicate. This can range from oriented and appropriate speech to no verbal response.

Motor response: The nurse should assess the client's motor responses, specifically looking for voluntary movement. This can range from following commands to no motor response.

These three components of the Glasgow Coma Scale are used to evaluate the client's level of consciousness and neurological function. Each component is assigned a score, and the scores are combined to determine the overall GCS score. The GCS score provides valuable information about the severity of the brain injury and helps guide further management and treatment decisions.

It is important for the nurse to accurately assess and document the client's responses in each component to ensure an accurate GCS score and facilitate effective communication among healthcare providers involved in the client's care.

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Related Questions

Drag the tiles to the correct boxes to complete the pairs.
Match the terms with their descriptions.
resources
decision making
prioritizing
goals
things you want to accomplish
selecting from available options
things to help you achieve your goals
ranking tasks in their order of importance
Reset
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Answers

Answer:

things you want to accomplish-goals

selecting from available options-decision making  

things to help you achieve your goals-resources

ranking tasks in their order of importance-prioritizing

Explanation:

plato

Write a Paragraph on who started the first blood Bank/history

Answers

Answer:

One of the soonest blood donation centers was set up by Frederic Durán-Jordà during the Spanish Civil War in 1936. Duran joined the Transfusion Service at the Barcelona Hospital toward the beginning of the contention, however the clinic was before long overpowered by the interest for blood and the lack of accessible benefactors. With help from the Department of Health of the Spanish Republican Army, Duran set up a blood donation center for the utilization of injured officers and regular folks. The 300–400 ml of separated blood was blended in with 10% citrate arrangement in an altered Duran Erlenmeyer jar. The blood was put away in a sterile glass encased under tension at 2 °C. During 30 months of work, the Transfusion Service of Barcelona enrolled just about 30,000 givers, and handled 9,000 liters of blood.

Explanation:

As early as the 17th century, blood has been used as a therapy for a variety of ailments. Over the years, there have been many great advances and it is no wonder this precious resource is so valuable. Here is a look at some of the bigger milestones related to blood transfusion over the years.

1628 English physician William Harvey discovers the circulation of blood. Shortly afterward, the earliest known blood transfusion is attempted.

1665 The first recorded successful blood transfusion occurs in England: Physician Richard Lower keeps dogs alive by transfusion of blood from other dogs.

1818 James Blundell performs the first successful blood transfusion of human blood to treat postpartum hemorrhage.

1840 The first whole blood transfusion to treat hemophilia is successfully completed.

1900 Karl Landsteiner discovers the first three human blood groups, A, B and O.

1902 Landsteiner’s colleagues, Alfred Decastello and Adriano Sturli, add a fourth blood type, AB.

1907 Blood typing and cross matching between donors and patients is attempted to improve the safety of transfusions. The universality of the O blood group is identified.

1914 Adolf Hustin discovers that sodium citrate can anticoagulate blood for transfusion, allowing it to be stored and later transfused safely to patients on the battlefield.

1932 The first blood bank is established at Leningrad hospital.

1939-1940 The Rh blood group is discovered and recognized as the cause behind most transfusion reactions.

1940 The US government establishes a nationwide blood collection program.

1950 Plastic bags allowing for a safer and easier collection system replace breakable glass bottles used for blood collection and storage.

1961 Platelet concentrates are recognized to reduce mortality from hemorrhaging in cancer patients.

1970 Blood banks move towards an all-volunteer donor base.

1972 The process of apheresis is discovered, allowing the extraction of one component of blood, returning the rest to the donor.

1983 Stanford Blood Center is the first blood center to screen for AIDS contaminated blood, using a surrogate test (T-lymphocyte phenotyping) two years before the AIDS virus antibody test is developed.

1985 The first HIV blood-screening test is licensed and implemented by blood banks.

1987 Stanford Blood Center is the first in the country to screen donors for Human T-Lymphotropic Virus Type I (HTLV-I), a virus believed to cause a form of adult leukemia.

1990 A specific test to identify Hepatitis C is introduced.

2002 West Nile Virus is identified as transfusion-transmissible.

At Stanford Blood Center, we lead the fields of transfusion and transplantation medicine by advancing science and technology. We provide hope for the future by teaching the medical leaders of tomorrow. We enhance lives by connecting donors to patients every day.

which actions are recommended if a person wants to keep a healthy weight?
( pls answer quickly )
A. Eating low fat or extra lean meats
B. eating fish multiple times a week
C. eating a considerable number of high fat foods
D. eating low fat dairy products

Answers

Answer:

A. eating low fat or extra lean meals

Explanation:

for B it wouldn't be the answer because even though fish may be healthy eating an abnormal amount would not help lose weight or maintain your figure.  for C the wrong answer is just self-explanatory, it contains an large amount of fat.  for D the products may be low fat but diary is a product that contains a lot of fat in it so even with it being a low fat product it still has a high fat count.

What would happen if you took 10 kittens and 10 puppies and created a 2 acre place on the moon with food and water

Answers

Answer:

XD

Explanation:

Depends did you or did you not dome the area and fill it with oxygen?

If you did then they would be happily floating around eating and playing.

If you didn't they would die and their bodies would float off into space with their food. Realisitcally speaking

These foods are good source of complete protein except:

a.Eggs
b. Bread
c. Soybeans
d. Meat​

Answers

Answer:

B. Bread

Explanation:

Not every type of bread has protein. Only white bread has Protein. BUT it has a low percentage of Protein. VERY LOW. So I consider This Answer.

Answer:

A.eggs

Explanation:

im not sure but i wish it helps

1. Is this a situation that would benefit from collaborative decision making, or is it better for you, the doctor, to make the call yourself?

Answers

Answer:

The doctor.

Explanation:

The doctor is the right person to make decision about the patient as compared to other people because doctor knows what is right and wrong about their patients. Doctor knows all the technicalities about a specific problem and knows how to deal with it so doctor is considered as the right person to make decisions about the treatment of a patient.

Essential nutrients are substances that the body cannot make in a quantity needed to sustain life. true or false

Answers

Answer:

true

Explanation:

What is the active ingredient in marijuana?

Answers

The drug itself? Lol I thunk

Study skills and strategies improve your ability to recall facts and concepts from what kind of memory?

neural

non-declarative

cognitive

declarative

Answers

Answer:

explicit memory. . . . . .

Study skills and strategies improve your ability to recall facts and concepts from declarative memory. The correct option is D.

What is declarative memory?

Declarative memory is concerned with the processing of names, dates, places, facts, events, and so on.

These are entities that are thought to be symbolically encoded and thus can be described with language. Declarative memory, in terms of function, is optimized for rapid processing and learning.

Declarative memory is made up of facts and events that can be consciously recalled or "declared."

It is also known as explicit memory because it is made up of information that can be explicitly stored and retrieved.

The temporal lobe stores declarative memory, while the cerebellum stores procedural memory.

Thus, it can be concluded that the correct option is D.

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1.) Why does it not hurt to get your haircut?

2.)On Average how many hairs fall out of someone's head on a daily basis?

3.) What makes your hair greasy/ shiny?

Answers

Answer:

1 because your hair will fall out eventually

2  50 to 100 strands a day

3 oil

Explanation:

Answer:

1.it depends on what type of cut you take if take a whole bald shave with blade you might get hurt or just simply cutting a hair don't hurt

2.It depends on your care of your hair if you shampoo it or comb it will be perfect or it's normal to shed between 50 and 100 hairs a day.

3.it makes it shiny when we shampoo it or keep our hair wet it shines and reflects the light.

hope it helps you

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What is physical health?

Answers

Answer:

Physical health represents one dimension of total well-being. The term refers to the state of your physical body and how well it's operating.


Physical health

It is also the result of regular exercise, proper diet and nutrition, and proper rest for physical recovery. A person who is physically fit will be able to walk or run without getting breathless and they will be able to carry out the activities of everyday living and not need help.

What are the things that you wanted to advice to young teens today about courtship?​

Answers

Focus on yourself but not to the point where it’s selfish

Why should fitness equipment be purchased new?

Answers

Answer:

So you know that it is reliable.

Explanation:

If you purchase a barbell that someone had before you, how do you knw that it will not break?

the principal form of stored energy in the body is:
- fat
- protein
- carbohydrate

Answers

Answer:

fat is the principal form

Which of the following foods is NOT an example of a protein? *
- eggs
- chicken
- steak
- orange

Answers

Answer:chicken

Explanation:

2. Blood carries nutrients and what important gas?

Answers

Blood brings *oxygen* and nutrients to all the parts of the body so they can keep working. Blood carries carbon dioxide and other waste materials to the lungs, kidneys, and digestive system to be removed from the body. Blood also fights infections, and carries hormones around the body. i would say the “important gas” is oxygen

please help me with science ')

During dinner, Siti's grandmother complained that the soup was tasteless but Siti felt the soup was salty. Both Siti and grandmother did not have the flu. Why do these two people taste differ from what they drink?​

Answers

You put this in the health and fitness section but I’m pretty sure it would be because the grandma has older taste buds when you get to the age of 60m it is harder for you to tast super sweet or salty foods I’m 100% sure

Answer:

grandma has older taste buds

interpret the poem

"Don't think you can direct the course of love, For love, if it finds you worthy, Directs your course." - Khalil Gibran​

Answers

You find love on your own. It cannot be planned or forced, and once you find love, if it's true, you will do anything for that person.

Poem are often rewritten by people with messages imbedded on them. The interpretation of this poem is talking about the power of love and that Love will lead you to that particular or right person if they allow it to do so. Through the act of trusting in Love to do the guiding and directing, one can be said to be worthy of it.

Most times, picture perfect story of finding one true love, Prince Charming or The Trophy wife does not always go the way we plan as most times we are often led by emotions, lust or material things.

Khahil's poem shows the powerful forces behind love or that is imbedded in love and it can control's one's life course even without us knowing if we allow it to.

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Which of the following is TRUE about assessing muscular strength and endurance?
A All muscle groups can be tested simultaneously
B. Muscle strength and endurance are always assessed together
C. Different muscle groups have to be tested separately.
D. One test can determine an individual's muscle group focus area

Answers

Answer:

C - Different muscle groups have to be tested separately.

Explanation:

Answer:

C Different muscle groups have to be tested separately.

Explanation:

A good explanation would be crunches---testing abdominal muscles, sit and push- hamstrings.

Goals that give you a clear idea of what you want to achieve are

Answers

Answer:

I am sorry but I do not understand

Explanation:

Be able to lift 210 pounds by July
Start to eat healthier


These are made up haha

what would you do if an emergency happen​

Answers

Answer:

call 911

Explanation:

they might be able to help

Answer:

Take a deep breath.

Count to 10. Tell yourself you can handle the situation.

Check for danger. ...

Try to look at the situation as a whole.

Explanation:

.Why is physical education important to my health?

Answers

Answer:

so you stay physically healthy

Answer:

By eliminating the chance of obesity, physical education also helps decrease the risk of diabetes, heart disease, asthma, sleep disorders, and other illnesses. Staying active and getting the required exercise helps with our cardiovascular health and helps with the development of our bones and muscles.

but i dont exercise so im a noodle lol

Explanation:

How was your Valentine’s Day? I spent it hanging out with my baby cousin.

Answers

Literally just a normal day for me. Too bad i dont have someone to spend time with

Awwww well I don’t celebrate Valentine’s Day but I hope yours was good

What
are three (3).physical attribute domains to assist athletic performance.

Answers

Answer:

vvvvvvvvvvvvvvvvvvv

Explanation:

strength, flexibility and good mobility

Neutral consequences?

A: are neither helpful nor harmful

B: have no effect at all


C: helps you or others


D: harms you or others

Answers

Answer:

A 60% chance, B 40%

Explanation:

The interesting thing here is that both A and B are essentially the same. A consequence that is not helpful but doesn't harm anything means you can do as you please without fear. A consequence that does nothing means you can do as you please without fear. This is one of those questions that has an answer defined by the views of the poser. Most likely A is the answer as it implies SOME consequence will occur where no effect can mean nothing happens at all, not quite the same thing but with the same end result: do as you please.

What would your life be like if you were allergic to chocolate? Me personally I would die because I would eat it anyway lol.

Answers

Answer:

If we talk about our own preferences, i too wouldn't be able to live without it. But I'm sure people allergic to chocolates value their life...

I’m technacally alergic to chocolate, but if I was badly alergic to it, I’d probably eat it then throw it up.

Name three characteristics of Mental/Emotional health.​

Answers

Answer:

They feel good about themselves.

They do not become overwhelmed by emotions, such as fear, anger, love, jealousy, guilt, or anxiety.

They have lasting and satisfying personal relationships.

They feel comfortable with other people.

They can laugh at themselves and with others.

Explanation:

how can we control of water borne disases​

Answers

Answer: Ensure the water is visibly clean and free from sand and silt. Filter the water to get rid of visible dirt. Drink only clean and safe water – either portable water or water filtered through water purifiers.

underweight refers to being less than ten percent below the ideal outweight for ones height and bone structure

Answers

True
Explanation:
I took health my sophomore year lol

The author includes several definitions of wellness in order to

make the concept confusing
indicate that health is a controversial topic
show that it is an exceptionally difficult term to define
demonstrate that there are several ways to express what wellness means

Answers

Answer:

D. Demonstrate that there are several ways to express what wellness means.

Explanation:

I majored in Health

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