Asked by Brandon Couto on Jul 04, 2024

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An adult admitted to the hospital after a stroke does not respond to verbal stimuli.What should the nurse do next to try to provoke a response?

A) Apply pressure to the mandible at the jaw.
B) Rub the patient's sternum.
C) Squeeze the trapezius muscle.
D) Gently shake the patient's shoulder.

Verbal Stimuli

Stimuli that involve language or sounds, used often in psychological experiments to assess reactions and cognitive processes in humans.

Mandible

The lower jaw or jawbone, significant in the structure of the face and in the process of chewing.

Trapezius Muscle

A large superficial muscle that extends from the occipital bone to the lower thoracic vertebrae and to the scapular spine, involved in moving the shoulder blade and supporting arm movements.

  • Use expertise in nursing examinations to identify deviations from normal findings.
  • Comprehend the relevance and impact of distinct physical examination practices.
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Verified Answer

AY
Ahmad YassineJul 10, 2024
Final Answer :
D
Explanation :
If the patient does not respond to verbal stimuli,the nurse should try tactile stimuli by gently shaking the patient's shoulder.If the patient does not respond to tactile stimuli,the nurse should try painful stimuli by squeezing the trapezius muscle,rubbing the sternum,applying pressure on the mandible at the angle of the jaw,or applying pressure over the moon of the nail.But do not start out with painful stimulation before you are sure the patient is not going to react to a less invasive approach.