Which term would the nurse use to document a patient who is comatose from a head injury and display flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

Decorticate posturing

Epileptic

Stroke

Decerebrate posturing

Answer and Explanation

The Correct Answer is A

A.   Decorticate posturing indicates severe brain injury, characterized by flexion of the arms and adduction of the upper extremities.
B.   Epileptic is not a term used to describe posturing related to head injury.
C.   Stroke does not describe posturing.
D.   Decerebrate posturing is characterized by extension and pronation of the arms, not flexion.

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Correct Answer is A

Explanation

A. Osmotic diuretics, such as mannitol, help reduce cerebral edema by drawing fluid out of the brain.
B. Osmotic diuretics do not increase cell size.
C. The goal of osmotic diuretics is not to provide fluid hydration.
D. The medication does not expand extracellular fluid volume; it reduces it.

A. Dim vision. B. Papilledema C. Body temperature D. Level of consciousness

Correct Answer is D

Explanation

A. Dim vision could be a sign of many conditions but is not the first indicator the nurse should assess for neurologic status.

B. Papilledema (swelling of the optic disc) is a late sign of increased intracranial pressure and is not immediately available on assessment.
C. Body temperature is important but not as directly related to the neurological status as LOC.
D. The level of consciousness (LOC) is one of the most important initial indicators of a patient's neurologic status, as it helps assess brain function and the severity of potential neurological injury. A decrease in LOC can indicate significant brain injury or dysfunction.

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Which term would the nurse use to document a patient who is comatose from a head injury and display flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?

Correct Answer is A

Explanation

when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Correct Answer is D

Explanation

Which medical condition places a patient at a higher risk for an embolic stroke?

A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?

The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

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A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

A nurse is taking care of a client who has sustained a neurologic injury with increased intracranial pressure and decreased cerebral perfusion. Which of the following will keep cerebral perfusion pressure constant?