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[Answered]: A nurse is caring for a patient that fell in…

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A nurse is caring for a patient that fell in their home. The patient is on warfarin and has been diagnosed with a subdural hematoma. The nurse is assessing the patient’s level of consciousness and glasgow coma scale (GCS). The patient only has eye opening in response to painful stimuli, has irregular moaning sounds without words, and is withdrawing to pain upon stimuli. What is the nurses assessment of the GCS? E= 1, V= 2, M= 3: GCS 6O E=2, V= 2, M= 4: GCS 😯 E= 1, V=2, M=2: GCS 5 E= 2, V= 3, M= 5: GCS 10

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