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A nurse observes a colleague performing an assessment of a child who has a head injury by using the Glasgow coma scale. Which of the following assessments, if performed by the colleague, indicates the colleague needs instruction regarding the use of this scale?

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A nurse observes a colleague performing an assessment of a child who has a head injury by using the Glasgow coma scale. Which of the following assessments, if performed by the colleague, indicates the colleague needs instruction regarding the use of this scale?






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