Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
A client who has increased intracranial pressure and is receiving IV corticosteroids.Which of the following information is most important for the nurse to report at shift change?
Correct answer
D
Rationale
The correct answer is D: Glasgow Coma Scale score. This is crucial as it assesses a patient's level of consciousness, indicating any neurological changes. It helps in monitoring the patient's condition and detecting any deterioration. Reporting this information at shift change allows the oncoming nurse to promptly address any emergent situations. Choice A is important but not as critical as the GCS score. Choice B is relevant, but it pertains to future plans rather than the current status of the patient. Choice C is significant for skin integrity but may not signify an immediate change in the patient's condition compared to the GCS score.