Which of the following symptoms indicates a patient is obtunded?

The symptom that indicates a patient is obtunded is when they awaken only with difficulty. Obtundation refers to a state of reduced alertness and responsiveness, where the individual is not fully conscious and cannot be easily awakened. This can manifest as an inability to respond promptly or appropriately to stimuli, indicating a level of impaired cognitive functioning.

In contrast to the other options, where a patient is fully alert, oriented, or able to follow commands, the characteristic of being difficult to awaken signals that the patient is not fully aware or engaged with their environment, thus aligning with the definition of obtunded. Recognizing this symptom is crucial in respiratory care since it can guide the health professional in assessing the patient’s level of consciousness and determining appropriate care interventions.