Rapid Emergency Assessment · NCLEX Exam

If a patient has a Glasgow Coma Scale (GCS) of 6 during the disability assessment, what should the nurse do next?

  1. Continue to observe and recheck the GCS in one hour
  2. Secure the airway by intubation, since GCS <=8 risks airway loss
  3. Move on to the exposure step before airway management
  4. Monitor blood pressure alone without airway intervention
Show answer and explanation

Correct answer: Secure the airway by intubation, since GCS <=8 risks airway loss

A GCS ≤8 indicates severely depressed consciousness and inability to protect airway, so airway intervention is urgent.

Difficulty: Medium Question 15 of 20

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