Decerebrate posturing is present in an unconscious patient following a motor vehicle accident. The nurse expects to see which position?
1. The arms and legs are hyperextended, and arms are hyperpronated.
2. The arms are folded over the chest and spasms are rhythmic.
3. The arms are pulled inward and the head is turned to the side.
4. The arms and legs have tonic-clonic seizure activity.
1
Rationale 1: Decerebrate posture is displayed by hyperextension of the arms and legs and hyperpronation of the arms. Decerebration is considered a sign that the patient has a serious injury with a poor prognosis.
Rationale 2: In decerebrate posture, the arms are hyperextended.
Rationale 3: In decerebrate posture, the arms are hyperextended.
Rationale 4: Tonic-clonic movement is not present in decerebrate posturing.
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