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

Question 39

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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