Question: While Waiting For The Provider To Arrive, J.R. Becomes Unresponsive To Verbal Stimuli. The Right Pupil Is Larger Than The Left And Does Not Respond To Light. J.R. Responds To Painful Stimuli In The Manner Shown In The Illustration. 10. What Is This Response Called And What Does It Signify? 11. Calculate J.R.’s GCS Score. Describe The Clinical Implications ...

While waiting for the provider to arrive, J.R. becomesunresponsive to verbal stimuli. The right pupil is larger than theleft and does not respond to light. J.R. responds to painfulstimuli in the manner shown in the illustration.

10. What is this response called and what does it signify?

11. Calculate J.R.’s GCS score. Describe the clinicalimplications of this score..

12. What is the most likely cause of the change in J.R.’sneurologic status?

13. What are your immediate nursing priorities?

14. What immediate actions will you take?

15. His vital signs are now 160/72, 64, 10, 98.7° F (37.1° C),and Spo2 94%. What is your concern and why?

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