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Pathology General a14b1875

The nurse is assessing the motor function of an unconscious male client. The nurse would plan to use which plan to use which of the following to test the client’s peripheral response to pain?

A
Sternal rub
B
Nail bed pressure
C
Pressure on the orbital rim
D
Squeezing of the sternocleidomastoid muscle
High-Yield Explanation
Motor testing in the unconscious client can be done only by testing response to painful stimuli. Nail bed pressure tests a basic peripheral response. Options A, C, and D: Cerebral responses to pain are tested using the sternal rub, placing upward pressure on the orbital rim, or squeezing the clavicle or sternocleidomastoid muscle.

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