The nurse is caring for a patient with altered level of consciousness (LOC) who is exhibiting extension and outward rotation of the upper extremities and plantar flexion of the feet
The nurse would be correct in documenting this clinical manifestation as which of the following?
A) Bilateral flaccidity
B) Decorticate posturing
C) Decerebrate posturing
D) Hemiplegia
Ans: C
Feedback: Decerebrate posturing involves extension and outward rotation of the upper extremities and plantar flexion of the feet. Bilateral flaccidity is the most severe neurologic impairment. Decorticate posturing involves adduction and flexion of the upper extremities, internal rotation of the lower extremities, and plantar flexion of the feet. Hemiplegia occurs in patients who have sustained a stroke; it pertains to paralysis on one side of the body. Refer to Figure 61-1, page 1852.
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