The Nurse Is Caring for a Client Diagnosed with Diabetic

Multiple Choice

The nurse is caring for a client diagnosed with diabetic ketoacidosis and notes that the client's level of consciousness appears to be deteriorating.The nurse is aware that which assessments are a component of both the Glasgow Coma Score and the Full Outline of Un-Responsiveness (FOUR Score) Coma Scale? Select all that apply.

A) Brainstem reflexes
B) Ability to follow verbal commands
C) Abnormal breathing patterns
D) Pupil size
E) Types of motor responses