Problem: The nurse uses the Glasgow come scale (GCS) to assess a client who has a had a stroke. When the nurse calls out the client's name, the client does not open eyes, does not respond to a painful stimulus, and does not make any spoken sound during the assessment. Which statement based on the GCS reflects correct documentation in the electronic medical record of the client's neurological status?
- GCS indicates no function
- Comatose with no score using GCS
- Score of 3 on the GCS
- Unable to assess client using GCS