A patient with a ruptured cerebral aneurysm is demonstrating drowsiness and confusion. Using the Hunt and Hess scale, how should the nurse rate this patient?

Question

Quizplus · Accepted Answer

1. A Grade 1 is asymptomatic or is evidenced by minimal headache and slight nuchal rigidity.
2. A Grade 2 is evidenced by moderate-to-severe headache, nuchal rigidity, and no neurologic deficit other than cranial nerve palsy.
3. A Grade 3 is evidenced by drowsiness, confusion, or mild focal deficit.
4. In Grade 4 there is stupor, moderate-to-severe hemiparesis, possible early decerebrate rigidity, and vegetative disturbances.

A Patient with a Ruptured Cerebral Aneurysm Is Demonstrating Drowsiness