Author Question: The nurse is planning to assess an adult patient with a neurological problem for abnormal posturing. ... (Read 48 times)

nramada

  • Hero Member
  • *****
  • Posts: 580
The nurse is planning to assess an adult patient with a neurological problem for abnormal posturing. For what postures should the nurse specifically assess?
 
  Select all that apply.
  1. decorticate
  2. decerebrate
  3. circumduction
  4. festinating
  5. nystagmus

Question 2

The patient has lower motor neuron injuries. What type of reflexes should the nurse expect to assess in this patient?
 
  1. decreased
  2. increased
  3. normal
  4. exaggerated



dawsa925

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

Correct Answer: 1, 2
In decorticate posturing, the upper arms are close to the sides; the elbows, wrists, and fingers are flexed; the legs are extended with internal rotation; and the feet are plantar flexed. In decerebrate posturing, the neck is extended; the jaw is clenched; the arms are pronated, extended, and close to the sides; the legs are extended straight out; and the feet are plantar flexed. Festinating describes a gait abnormality, and circumduction refers to the circular movement of a limb. Nystagmus is the term for involuntary eye movements seen in stroke patients.

Answer to Question 2

Correct Answer: 1
The finding of abnormally decreased reflexes points to disorders or diseases involving lower motor neuron impairment. The patient's reflexes will not be increased, normal, or exaggerated.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

For a complete list of videos, visit our video library