A newly admitted adult client with increased intracranial pressure caused from a head injury has a Glasgow Coma Scale (GCS)score of 6. Which of the following assessment findings is most likely in this client?

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A)The GCS (Glasgow Coma Scale)is a standardized system for assessment of consciousness that analyzes three components: eye opening, verbal response, and motor response. A score of 15 indicates full alertness, and the lowest possible score is 3, which indicates total neurologic unresponsiveness. The client's score is low, so the finding of extension to painful stimuli, a 2 out of a possible 6 for motor response, is most likely for this client. Findings of spontaneous eye opening (a 4 on the scale for eye opening, the maximum score)or orientation to time, place, and person (a 5 for verbal response and also the maximum score for that component)are unlikely. An assessment finding of withdraws to touch would be more typical of an infant or young child, not an adult, and would be a 5 out of 6 for motor response.
B)The GCS (Glasgow Coma Scale)is a standardized system for assessment of consciousness that analyzes three components: eye opening, verbal response, and motor response. A score of 15 indicates full alertness, and the lowest possible score is 3, which indicates total neurologic unresponsiveness. The client's score is low, so the finding of extension to painful stimuli, a 2 out of a possible 6 for motor response, is most likely for this client. Findings of spontaneous eye opening (a 4 on the scale for eye opening, the maximum score)or orientation to time, place, and person (a 5 for verbal response and also the maximum score for that component)are unlikely. An assessment finding of withdraws to touch would be more typical of an infant or young child, not an adult, and would be a 5 out of 6 for motor response.
C)The GCS (Glasgow Coma Scale)is a standardized system for assessment of consciousness that analyzes three components: eye opening, verbal response, and motor response. A score of 15 indicates full alertness, and the lowest possible score is 3, which indicates total neurologic unresponsiveness. The client's score is low, so the finding of extension to painful stimuli, a 2 out of a possible 6 for motor response, is most likely for this client. Findings of spontaneous eye opening (a 4 on the scale for eye opening, the maximum score)or orientation to time, place, and person (a 5 for verbal response and also the maximum score for that component)are unlikely. An assessment finding of withdraws to touch would be more typical of an infant or young child, not an adult, and would be a 5 out of 6 for motor response.
D)The GCS (Glasgow Coma Scale)is a standardized system for assessment of consciousness that analyzes three components: eye opening, verbal response, and motor response. A score of 15 indicates full alertness, and the lowest possible score is 3, which indicates total neurologic unresponsiveness. The client's score is low, so the finding of extension to painful stimuli, a 2 out of a possible 6 for motor response, is most likely for this client. Findings of spontaneous eye opening (a 4 on the scale for eye opening, the maximum score)or orientation to time, place, and person (a 5 for verbal response and also the maximum score for that component)are unlikely. An assessment finding of withdraws to touch would be more typical of an infant or young child, not an adult, and would be a 5 out of 6 for motor response.

A Newly Admitted Adult Client with Increased Intracranial Pressure Caused