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Author Question: A patient is admitted to the neurological critical care unit with a severe closed head injury. All ... (Read 125 times)

danielfitts88

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A patient is admitted to the neurological critical care unit with a severe closed head injury. All four extremities are in rigid extension, the forearms are hyperpronated, and the legs are in plantar extension.
 
  How should the nurse chart this condition?
  a. Decorticate posturing
  b. Decerebrate posturing
  c. Dystonic posturing
  d. Basal ganglion posturing

Question 2

The nurse is explaining clinical manifestations of alterations in the extrapyramidal system. The nurse would correctly include: (select all that apply)
 
  a. little or no paralysis of voluntary move-ment.
  b. normal or slightly increased tendon re-flexes.
  c. positive (present) Babinski.
  d. presence of tremor.
  e. rigidity in muscle tone.



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ms_sulzle

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Answer to Question 1

ANS: B
The description is of a patient in decerebrate posturing. The description provided is not associat-ed with decorticate, dystonic, or basal ganglion posturing.

Answer to Question 2

ANS: A, B, D, E
The patient will experience little or no paralysis of voluntary movement. The patient will experi-ence normal or slightly increased deep tendon reflexes. Babinski will be negative (absent). Trem-or will be present. Rigidity of muscle tone occurs intermittently.





 

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