A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU). The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool? Select all that apply.

Question

Quizplus · Accepted Answer

The Glasgow Coma Scale assesses eye opening, verbal response, and motor response to evaluate level of consciousness in a patient with a traumatic brain injury. Head circumference and pulse oximetry are not included in this tool.

A Child Sustains a Traumatic Brain Injury and Is Monitored