NursGuru
    Ati ew n300 med surg final proctored exam
    A 52-year-old female client was admitted to the nursing unit with a severe traumatic brain injury. Upon admission she was not able to open eyes to pain, had no verbal response and she extended her left side to pain (decerebrate posturing). Using the Glasgow Coma Scale, determine her score: Eye Opening Motor Response Verbal Response Spontaneous 4 Obeys commands 6 Oriented 5 To speech 3 Localizes pain 5 Confused 4 To pain 2 Withdraw pain 4 Inappropriate 3 None 1 Abnormal flexion 3 Incomprehensible 2 Extension 2 None 1 None 1

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