A call comes in for a 61 yr old female with an altered LOC. When you arrive, the patient’s sister tells you that the patient had a stroke about a year ago, but she knows of no other health problems. During your initial assessment, you find her eyes open and looking around. She is speaking to you, but saying inappropriate words. She will not obey your commands to “raise your arm please ma’am” and she moves her arm toward her chest when you give her a light sternal rub. What is this woman’s GCS and what should you do after administering oxygen?

a. GCS of 12 / Package the patient for transport

b. GCS 7 / Get a BP, Pulse, and Respirations

c. GCS of 9 / Ask if she is taking any medications

d. GCS of 8 / Do a rapid assessment

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