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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
An emergency department (ED) nurse receives a report that an incoming patient has a Glasgow Coma Scale (GCS) score of 8. Which is the most appropriate action by the nurse?
1. Treat the patient’s pain.
2. Assess the patient’s airway, breathing, and circulation.
3. Obtain a complete history from the patient.
4. Triage the patient with the other ED patients.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
2 -- The GCS ( Glasgow Coma Scale) is a standardized system for assessment of consciousness. A score of 15 indicates full alertness and a score of 8 or less is usually indicative of coma the lowest possible score is 3. A comatose patient receives high priority, and the nurse will utilize the ABCs of care in this case. Additionally, assessment is the first nursing process.
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