A client is experiencing decorticate posturing. Which assessment finding would the nurse expect to observe in this client?

Flexion and internal rotation of upper extremities

Flexion and external rotation of upper extremities

Extension and internal rotation of upper extremities

Extension and external rotation of upper extremities

Answer and Explanation

The Correct Answer is A

A.   This description accurately depicts decorticate posturing. The characteristic feature of decorticate posturing is the flexion of the upper extremities (arms) and the extension of the lower extremities (legs). The internal rotation of the legs is often observed in this posture. This pattern is seen in severe brain damage, particularly involving the corticospinal tract.
B.   External rotation of the arms is not characteristic of decorticate posturing. In decorticate posturing, the arms are flexed and positioned close to the body, with internal rotation being more typical. Therefore, this option does not accurately describe decorticate posturing.
C.   Extension of the arms is more characteristic of decerebrate posturing rather than decorticate posturing. Decerebrate posturing involves the extension of both the arms and legs. Internal rotation of the arms is not a typical feature of decerebrate posturing, so this choice does not describe decorticate posturing.
D.   Extension and external rotation of the arms describe decerebrate posturing rather than decorticate posturing. Decerebrate posturing is characterized by the extension of the arms and legs, not flexion. Therefore, this option does not describe decorticate posturing.

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Correct Answer is D

Explanation

A. Heparin can be used to manage DIC but it's not a lifelong treatment and is part of a complex management plan.
B. DIC actually leads to a decreased platelet count due to excessive clotting.
C. DIC is an acquired condition, not a genetic one, and while vitamin K is involved in clotting, it's not the primary cause of DIC.
D. DIC is a complex disorder involving uncontrolled clotting and bleeding due to the depletion of clotting factors, including fibrinogen.

A. Cognitive function B. Speech C. Mobility status. D. Blood pressure E. Facial symmetry

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Explanation

Cognitive Function

Cognitive function in Parkinson's disease can be relatively preserved early on, though some patients may develop cognitive impairment or dementia in later stages.
Cognitive function can be significantly affected depending on the location and extent of brain damage. Sudden changes in cognition, such as confusion or difficulty forming words, are common in the acute phase following a stroke.
Cognitive impairment is possible and can vary widely among patients. It is usually more subtle and may include difficulties with concentration and memory rather than dramatic changes.

Speech

Speech abnormalities are common, such as reduced volume (hypophonia), monotone voice, and difficulty articulating words (dysarthria).
Speech difficulties, including aphasia or dysarthria, are common, especially if the stroke affects the language centers of the brain.
Speech problems can include slurred speech (dysarthria) and difficulty with articulation due to muscle weakness or coordination issues.

Mobility Status

Characterized by bradykinesia (slowness of movement), rigidity, and tremors. Mobility issues are common, with patients often using assistive devices as the disease progresses.
Mobility issues vary widely based on the affected brain areas. Weakness or paralysis on one side of the body (hemiparesis) and difficulty with gait and balance are common.
Mobility issues can include weakness, spasticity, and coordination problems. Gait disturbances are common, and assistive devices may be used as the disease progresses.

Blood Pressure

Blood pressure can vary but is not directly influenced by Parkinson's disease.
High blood pressure is often a risk factor for stroke and can be present in both the acute phase and later stages.
Blood pressure abnormalities are not a primary feature of MS, although secondary complications can affect it.

Facial Symmetry

Parkinson's Disease is characterized by a reduced range of facial expressions (masked face) due to bradykinesia and rigidity, but typically no acute facial droop.
Facial droop on one side is a common symptom, especially if the stroke affects the facial nerve area or motor control areas.
Facial weakness or asymmetry can occur, but is less common compared to stroke.

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A client is experiencing decorticate posturing. Which assessment finding would the nurse expect to observe in this client?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client. Exhibits For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Explanation

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