Decerebrate - Study guides, Class notes & Summaries

A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) A. Flat jugular veins B. A Glasgow Coma Scale score of 15 C. Sleepiness exhibited by the client D. Widening pulse pressure E. Decerebrate posturing - C, D, E Flat jugular veins is incorrect. With increased ICP, the jugular veins are typically distende...

NU 530 Advanced Pathophysiology Study Guide Quiz 4 Cervical cord injuries- serious complications Chapter 16 12,000-person experience serious spinal cord injuries each year. Risk factors: 1. Male gender and age 16 to 30 are strong risk factors. 2. Motor vehicle accidents are the leading cause of injury (36.5%) 3. Falls are the next most common cause (28.5%) 4. Violence, other events 5. Sports activities 6. Elderly Hemiplegia means loss of motor function on one side of the body. Parapl...

A temporary acute paralysis or weakness of one side of the face - Answer- bells palsy rapidly alternating involuntary contraction and relaxation of skeletal muscle - Answer- clonic/clonus rigid extension of all four extremities with hyperpronation of the forearms and plantar flexion of the feet - Answer- decerebrate posturing posturing manifested by the obtunded pt pulling arms and hands medially toward the center of the body in response to noxious stimuli - Answer- decorticate posturin...

ATI COMPREHENSIVE PREDCTOR STUDY THIS ONE WITH ALL QUESTIONS AND ALL CORRECT ANSWERS GRADED A+ A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY? 1. Unequal and dilated pupils. 2. Decerebrate posturing. 3. Grand mal seizures. 4. Decreased level of consciousness. - ANSWER-4 A 23-year-old woman at 32-weeks gestation is seen in the outpatient

1. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Lymphedema 2. A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer? 33 3...

ATI RN Medical Surgical Med Surg A Exam Retake 2 with rationales Questions and Answers (2023 / 2024) (Verified Answers) A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) A. Flat jugular veins B. A Glasgow Coma Scale score of 15 C. Sleepiness exhibited by the client D. Widening pulse pressure E. Decer...

Best position after a lumbar puncture (Ans- Flat Blindness of half of the field of vision (Ans- hemianopsia Rigid extension and pronation of arms and legs (Ans- Decerebrate posture After seizure recovery position (Ans- Side lying Best HOB position for increased intracranial pressure (Ans- Thirty degrees Glasgow coma scale measures this (Ans- Level of consciousness Weakness to one side of the body or part of it (Ans- Hemiparesis Paralysis of one side of the body...

LOC - ALERT (Correct Answer) - patient is responsive opens eyes spontaneously answers questions appropriately LOC - LETHARGIC (Correct Answer) - patient can open eyes and respond to questions falls asleep easily LOC - OBTUNDED (Correct Answer) - patient responds to light shaking is confused slow to respond LOC - STUPOROUS (Correct Answer) - patient barely responds to painful stimuli *example* rubbing sternum abnormal posturing may be prese...

Stridor CORRECT ANSWER harsh, high-pitched sound, swelling, FB in upper airway Snoring CORRECT ANSWER tongue blocking airway Gurgling CORRECT ANSWER indicates presence of fluid in the upper airway, need for suctioning Decorticate posturing CORRECT ANSWER characterized by upper extremities flexed at the elbows and held closely to the body and lower extremities that are externally rotated and extended. occurs when the brainstem is not inhibited by the motor function of the cerebral cortex...

1. A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) A. Flat jugular veins B. A Glasgow Coma Scale score of 15 C. Sleepiness exhibited by the client D. Widening pulse pressure E. Decerebrate posturing: C, D, E Flat jugular veins is incorrect. With increased ICP, the jugular veins are typically dist...