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The Nurse Is Assessing a Client That Experienced a Head

Question 5

Multiple Choice

The nurse is assessing a client that experienced a head injury using the Glasgow Coma Scale. Which findings are scored using the best motor response portion of the scale?


A) No response with eyes to commands.
B) Abnormal flexion to pain.
C) Pupil response sluggish.
D) Abnormal extension to pain.
E) Pupils fixed and dilated.

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