The Nurse Is Providing Care for a Client Admitted to the Hospital

question 10

Multiple Choice

The nurse is providing care for a client admitted to the hospital after a motor vehicle accident.After being informed by family members that the patient is deaf and mute,which action should the nurse take?

• A) Avoid use of the Glasgow Coma Scale.
• B) Consider the Babinski response invalid.
• C) Utilize a three-point scale to grade muscle strength.
• D) Perform the Romberg test with the patient in a seated position.

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