A Child Sustains a Traumatic Brain Injury and Is Monitored

Multiple Choice

A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU) . The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool? Select all that apply.

A) Eye opening
B) Verbal response
C) Motor response
D) Head circumference
E) Pulse oximetry