T. G., a 22-year-old man, is brought to the trauma unit after his motorcycle collided with another vehicle. The nurse wants to use the Glasgow Coma Scale to describe his level of consciousness. The nurse finds that he opens his eyes in response to voice, he is making incomprehensible sounds, and he withdraws from painful stimuli.
1.What are specific subjective questions you would ask?
2.What additional physical examinations are required to assist in making a judgment of diagnosis?
3.Relate expected (normal) findings to the findings described,
- Identify at least one relevant nursing diagnosis for any actual or potential problem identified.