Following a motor vehicle accident, the patient is brought via ambulance to the emergency department (ED). The patient is unconscious during the mental status exam. The nurse attempts to arouse the patient by calling her name, but the patient does not respond. Following a firm sternal rub, the patient’s flexes the arms into the chest and moans. The nurse documents the patient’s Glasgow Coma Scale score as which number? Enter your response using a whole number.

The nurse is changing the dressing of a patient with a stage IV pressure injury. Upon removal of the gauze dressing, the nurse notes the wound bed appears dry. The wound bed is clear of slough or eschar. The nurse cleans and measures the wound. Which of the following is the best wound care strategy for this patient?

Which interventions does the nurse include in care for the patient who underwent a total pelvic exenteration for a cancer diagnosis one day ago? Select all that apply.