A client has a Glasgow Coma Scale score of 8. Which statement best describes the level of care required?

A client has a Glasgow Coma Scale score of 8. Which statement best describes the level of care required?

• A. Total nursing care
• B. Independent self-care
• C. Partial assistance with ADLs
• D. Full mobility with minimal supervision

Answer: (D)

A Glasgow Coma Scale score of 8 indicates a coma with a significantly impaired level of consciousness, meaning the patient cannot protect their airway and cannot participate in self-care. Because of this, the patient requires airway protection and continuous, total nursing care to monitor neurologic status, prevent aspiration, manage secretions, and assist with all activities of daily living. They are not capable of independent self-care or mobility, even with supervision, so care must focus on close observation and comprehensive support rather than any degree of independence. In many cases, this level of impairment necessitates airway management, such as intubation, and mechanical ventilation, along with constant nursing interventions to maintain stabilization.

A Glasgow Coma Scale score of 8 indicates a coma with a significantly impaired level of consciousness, meaning the patient cannot protect their airway and cannot participate in self-care. Because of this, the patient requires airway protection and continuous, total nursing care to monitor neurologic status, prevent aspiration, manage secretions, and assist with all activities of daily living. They are not capable of independent self-care or mobility, even with supervision, so care must focus on close observation and comprehensive support rather than any degree of independence. In many cases, this level of impairment necessitates airway management, such as intubation, and mechanical ventilation, along with constant nursing interventions to maintain stabilization.