The patient has been in a motor vehicle crash and is in the critical care unit with severe brain injury
She is comatose but when painful stimuli are applied she extends, adducts, and hyperpronates her upper extremities and has plantarflexion of the feet. This action is called what?
A) Decorticate posturing
B) Decerebrate posturing
C) Clonic-tonic activity
D) Flacidity
B
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You are providing client teaching for a client undergoing chemotherapy. What dietary modifications should you advise?
A) Eat wholesome meals. B) Avoid spicy and fatty foods. C) Avoid intake of fluids. D) Eat warm or hot foods.
A patient who has had a right leg amputation below the knee describes a feeling that his toes are getting closer to his knee. The nurse explains to the patient that this sensation is known as:
A) stump pain. B) phantom sensations. C) phantom limb pain. D) telescoping.
An older adult patient tells the nurse she is ingesting a fat-soluble vitamin every day to boost her endocrine system. For what age-related change does the nurse recognize the patient is addressing by taking this vitamin?
1. The ability to absorb fat-soluble vitamins declines with aging. 2. Lipase production is increased and results in fat intolerance. 3. Older patients have increased resistance to insulin. 4. Indigestion increases with aging due to decreased lipase production.
A 21-year-old client informs the nurse that he is not sleeping. The nurse learns that the client's girlfriend was killed in a car accident 1 month ago. Which statement would be of most concern to the nurse?
a. "I am moving on and plan to start dating again." b. "It's my fault. I shouldn't have let her go out that night." c. "I wish I died in the car accident instead of her." d. "I cannot sleep because I keep reliving the car accident."