{This is incorrect. A deteriorating Glasgow Coma Scale indicates neurological com

finding that can be due to a neurological or orthopedic condition. \cell

the full assessment done on admission.}\plain \f0

{Objective: 9. Discuss how to assess the chest and auscultate breath sounds. \par

{This is incorrect. Circumoral cyanosis indicates hypoxemia and is an abnormal fi

pupils equal and round and reactive to light and accommodation

{Palpated abdomen before listening to bowel sounds}\plain \f0

{A nurse is completing vital signs on a client who was brought into the emergency

{This is incorrect. Direct pupil response involves briefly shining a penlight int

s head may not be elevated more than 40 degrees