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Worksheetsglasglow coma scale
Total questions: 50
Worksheet time: 50mins
A patient fell while rock climbing. while you apllly deep sternal rub, he extends his arms and legs and shows no other response. What is his Glasgow Coma Score?
3
7
4
8
It is used to objectively describe the level of consciousness in a person following a brain injury.
Decorticate
Glasgow Coma Scale
Decerebrate
Stupore
A 73 years old female looks at you when you speak to her. When you ask her the date , she says "blue" . You note left sided weakness when she grips your fingers. What is her Glasgow Coma Score?
10
9
12
13
It is an abnormal posturing in which a person is stiff with bent arms, clenched fists, and legs held out straight.
Lethargic
Decorticate
Stupor
Decerebrate
The three spheres of orientation, which you assess are?
Person, stimuli, time
Person, time, cognition
Person, date, time
Person, memory, cognition
A trauma patient moans, bends his arms towards his chest and points his toes when you attempt to start an IV. What is the glasgow coma score?
7
8
5
6
It is an abnormal body posture that involves the arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backward.
comatose
decerebrate
lethargic
decorticate
What is the cutoff score for GCS for severe?
6
8
3
10
Your patient is a 17 year- old male who sustained a TBI from a motor vehicle accident. Upon entering his room, you call his name and speak loudly asking him to open his eyes. He does not respond. You then pick up his hand and rub his forearm. He does not respond. You proceed to pinch or press firmly on the nail bed of a finger of his right hand. He then opens his eyes and purposefully moves his right UE away from the painful stimulus. To keep his attention, you proceed to talk to him and ask him to talk to you. In response, he groans and does not verbalize any words.
What is his GCS total score?
5
6
7
8
What is the minimum and maximum GCS scores for a classification of MILD?
13-15
9-12
3-8
You are assessing a 20 year old male suspected of over dosing. he is starring off into space, writhing and babbling. When you start an IV, he criess out incomprehensibly but does not pull away.
11
9
7
5
Eye opening is scored as 2, If?
A patient spontaneously opens his/her eyes.
A patient is not responding.
A patient open his/her eyes to painful stimuli.
A patient open his/her eyes when you speak to them.
Select the correct statement regarding Glasgow Coma Scale.
A score of 3 is normal.
A score of 7 represents coma
A score of 12 accompanies brain death.
A score of 15 is indicative of poor prognosis.
The Glasgow Coma Scale evaluates:
motor response, gag reflex, verbal response
eye opening, motor response, verbal response
eye opening, pupillary response, motor response
verbal response, pupillary response, motor response
A Glasgow Coma Scale score of 8 or below is an indication of
Moderate brain injury.
Mild brain injury.
Severe brain injury
No brain injury
You are dispatched to a local residence for a 21-year-old male patient who has been found unresponsive and lying on the floor. Upon arrival to the residence, you are greeted by the patient’s father who tells you that his son has been found collapsed in his bedroom, unresponsive you tried to stimulate him by performing a sternum rub he didn't open his eyes but he did a flexion with his arms. What is the Glasgow score of this patient
5
7
6
4
A 45 year old man called Elias is admitted to the Emergency Department on Sunday 1 January 2020 after being assaulted. When you ask the patient to tell you his name, where he is and what the date is, he answers, Elias, Hospital, December. How would you record this finding?
answer choices
Sounds
Confused
Words
Oriented
You arrive on scene to find a 44 year old man who has fallen off a ladder laying on his back. You approach, lean down and ask him to open his eyes. He does and you ask him what's happened. He says he's not sure and asks where he is. You ask him to hold up two fingers. He does. What's his GCS?
8
15
13
10
A man is found on the ground outside a homeless shelter. When you give him a sternal rub, he opens his eyes, tells you to go away, and pushes your hand away. What is his Glasgow Coma score?
12
9
10
15
An intoxicated patient initially appears unresponsive. When you start an IV, she wakes up and yells at you, then lays back down and closes her eyes. What is her Glasgow Coma score?
15
10
12
11
An elderly female in a nursing home is walking around her room and greets you when you enter. She speaks clearly but her answers are confusing. What is her Glasgow Coma score?
10
14
13
11
A possible overdose patient looks around with an unfocused gaze, mumbles when you ask him questions, and pulls away from painful stimulus. What is his Glasgow Coma score?
11
10
14
9
A man is found on the ground outside a homeless shelter. When you give him a sternal rub, he opens his eyes, tells you to go away, and pushes your hand away. What is his Glasgow Coma score?
13
12
15
14
A 75 year old male rubs his chest and tells you it really hurts. He tells you he wants to go to the hospital, and you help him walk to the stretcher. What is his Glasgow Coma score
10
15
11
13
A seven year old male who fell from the top of a jungle gym is awake and neurologically intact in all four extremities. When you ask what happens, he tells you he fell and then he tells you about his dog. What is his Glasgow Coma score?
15
13
9
12
it is a live bacteria that helps in preventing bladder cancer recurrence.
Alkalinized Lidocaine
Dimethyl Sulfoxide
Heparin
Bacillus Galmette-Guerin
What is the position for female patient when undergoing Bladder Instillation?
Supine position
Dorsal Recumbent position
Trendelenburg position
Prone position
Which food should the patient avoid when undergoing Bladder instillation?
Chocolate
Wheat Bread
Tea
Apple
It is a procedure by which fluid is slowly introduced into the bladder and allowed to remain there for a specific amount of time before being darined.
Bladder Irrigation
Catheterization
Bladder Training
Bladder Instillation
It is a medication used for Bladder Instillation that helps to repair the damage to the mucus lining of the bladder.
Alkalized Lidocaine & Heparin
Sodium Bicarbonate
BCG
Dimethyl Sulfoxide
These are the indication for Bladder Instillation, except:
Recurrent UTI
Ovarian Cancer
Interstitial Cystitis
Bladder Pain Syndrome
What should a nurse advice to the patient before Bladder Instillation?
Avoid sexual intercourse.
Limit fluid intake.
Avoid eating vegetables
Increase fluid intake
After a patient undergo bladder instillation, the patient experienced gross hematuria. What should the patient do?
Take the medication as prescribed.
Complete bed rest
Go to the hospital/clinic for consultation.
Limit fluid intake
It improves the absorption of the medication into the bladder wall and must be used conservatively to avoid systemic effects.
BCG
Sodium bicarbonate
Dimethyl Sulfoxide
Lidocane & heparin
What is TURBT?
Transurethral resection of bladder tumor.
transUrinary bladder reconstraction test
Transurethral resized technique
Transurethral removal of bladder tumor.
The periurethral area should be cleaned vigorously and with a special antimicrobial solution.
True
False
True, everyday while the catheter is still attached.
False, it should be done after removing the catheter.
What is the importance of moving the patient from side to side after the medication is instilled?
To ease the pain of the patient.
To decrease the duration of the medication instilled.
To help the medication reach all part of the bladder
For the patient not to be bored.
A 49 year old female patient tells the nurse that there is blood in her urine after Bladder Instillation. What is best response of the nurse?
Tell the patient it is normal and advise to limit fluid intake.
Tell the patient it is normal and notify her physician if there is heavy bleeding.
Tell the patient it is normal and advise to have a bed rest.
Tell the patient it is normal and do bladder training.
Which of the following medication is given for Bladder Instillation after Transurethral Resection of Bladder Tumor
DMSO
Alkalinized Lidocane
Sodium Bicarbonate
BCG
After Bladder Instillation, what should the nurse advised the patient?
Limit fluid intake.
Exercise Vigorously.
Avoid bladder training.
Avoid sex for 48 hours.
After the medication is instilled to the bladder, What the nurse should do?
Drain the solution.
Attache the catheter to the urine bag.
Instill normal saline.
Clamp the catheter.
A client hos has bladder cancer is receiving Intravesical chemotherapy. The nurse should monitor the client for:
Hair loss
Dysuria
Nausea
Anorexia
The nurse determines that further instruction is needed for a patient with Interstitial Cystitis when the patient says which of the following?
" I should stop drinking coffee and orange juice."
"I should notify the physician about increase bladder pain and odorous urine."
"I should avoid spicy foods."
"I should start taking high-potency multiple vitamins every morning."
Which medication is administered for bladder instillation that numbs the nerves that triggers the discomfort and provide bladder coating effect?
DMSO & Lidocaine
Marcaine & Elmiron
Alkalinized Lidocaine & Sodium Bicarbonate
BCG
When preparing a patient with bladder cancer for intravesical chemotherapy, the nurse will teach about:
Obtaining wigs and scarves to wear
Emptying the bladder before the session
Premedicating to prevents nausea
Avoid sexual intercourse for 72 hours
Before proceeding to the treatment. What is the best way to identify the client?
Ask the patient's name by stating his/her name.
State the name of the patient and let the patient follow inside the room.
Let the patient check the chart to verify their identity.
Ask the patient to state his/her name and birth date.
What precautionary measure should you advice the patient after bladder instillation?
Advice the patient to seat while urinating.
Advice the patient to eat citrus foods.
Advice the patient to avoid sexual intercourse for 4 days.
Avoid walking.
What are the medications administered for Bladder Instillation?
Alkalinized Lidocaine, Penicillin, BCG
Sodium Bicarbonate, Elmiron, Gentamycin
BCG, DMSO, Clyndamycin
Marcaine, Dimethyl Sulfoxide, Elmiron
It is a condition wherein the bladder wall is inflamed and irritated that can lead to Scarring and stiffening of the bladder.
Urinary Tract Infection
Interstitial Cystitis
Bladder Cancer
Pyelonephritis
It is a procedure used to treat non-muscle invasive bladder cancer tumors, the urologist tries to completely remove the tumor and destroy any cancer cells in the bladder.
Transurethral Resection of the Prostate
Total Abdominal Hysterectomy and bilateral Salpingo-Oopherectomy
Transvaginal Biopsy
Transurethral Resection of Bladder Tumor
