Which terms would a nurse use to document abnormal posturing in an adult with a neurological deficit? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Decorticate posturing
2. Decerebrate posturing
3. Circumduction
4. Steppage
5. Nystagmus
1,2
Rationale 1: In decorticate posturing, the upper arms are close to the sides; the elbows, wrists, and fingers are flexed; the legs are extended with internal rotation; and the feet are plantar flexed.
Rationale 2: In decerebrate posturing, the neck is extended; the jaw is clenched; the arms are pronated, extended, and close to the sides; the legs are extended straight out; and the feet are plantar flexed.
Rationale 3: Circumduction refers to a circular movement of a limb.
Rationale 4: Steppage is a gait abnormality.
Rationale 5: Nystagmus is a term for the involuntary eye movements that may be seen in stroke patients.
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