When a brain-injured patient responds to nail bed pressure with internal rotation, adduction, and flexion of the arms, how should the nurse report the response?

Localization of pain

Decorticate posturing

Decerebrate posturing

Flexion withdrawal

Answer and Explanation

The Correct Answer is B

Choice A rationale: Localization of pain refers to the ability of an individual to pinpoint the exact location of pain, which is different from the described response.

Choice B rationale: Decorticate posturing involves the arms flexing inward toward the body, which is consistent with the observed response to nail bed pressure.

Choice C rationale: Decerebrate posturing involves extension and outward rotation of the arms, which is different from the described response.

Choice D rationale: Flexion withdrawal typically involves pulling away from a painful stimulus, which differs from the specific response observed in the scenario.

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Correct Answer is B

Explanation

Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.

Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.

Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.

Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.

A. 5 units/hour B. 10 units/hour C. 20 units/hour D. 15 units/hour

Correct Answer is A

Explanation

Choice A rationale: The correct answer is 5 units/hour. To calculate the units of insulin per hour, we need to use the following formula: units of insulin per hour = (units of insulin in the bag / volume of the bag) x infusion rate

Plugging in the given values, we get:

units of insulin per hour = (50 / 100) x 10 units of insulin per hour = 0.5 x 10

units of insulin per hour = 5

Therefore, the client is receiving 5 units of insulin every hour.

Choice B rationale: This is incorrect because it assumes that the infusion rate is equal to the units of insulin per hour, which is not true.

Choice C rationale: This is incorrect because it multiplies the units of insulin in the bag by the infusion rate, which is too high.

Choice D rationale: This is incorrect because it adds the units of insulin in the bag and the infusion rate, which is also too high.

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When a brain-injured patient responds to nail bed pressure with internal rotation, adduction, and flexion of the arms, how should the nurse report the response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

Correct Answer is B

Explanation

A client is receiving 10 mL/hr of a prescribed regular insulin infusion. The label on the bag reads 50 units of regular insulin in 100 mL of 0.9% saline. How many units of insulin is the client receiving every hour? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer is A

Explanation

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