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 A

Explanation

Choice A rationale: While it can be used for muscle spasms associated with musculoskeletal conditions, it's not primarily used as a first-line treatment for osteoarthritis pain and inflammation.

Choice B rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to relieve pain and inflammation associated with osteoarthritis.

Choice C rationale: It's a medication used for chronic pain conditions, including OA- related pain.

Choice D rationale: Often used for mild to moderate OA pain relief, it's a common medication for OA management.

A. The client shows a marked improvement of muscle strength. B. The client has muscles become weakened due to the impaired ability to respond to nerve signals C. There is reduced amplitude of electrical stimulation in the muscle. D. The anti-acetylcholine receptor antibodies are present.

Correct Answer is A

Explanation

Choice A rationale: The Tensilon test involves injecting edrophonium, and in myasthenia gravis, temporary improvement in muscle strength confirms the diagnosis by demonstrating increased acetylcholine activity at the neuromuscular junction.

Choice B rationale: This describes the pathophysiology of myasthenia gravis but doesn’t directly confirm the diagnosis via the Tensilon test.

Choice C rationale: While this may be seen in myasthenia gravis, the Tensilon test specifically aims to observe improved muscle strength after administration.

Choice D rationale: While the presence of these antibodies is a characteristic of myasthenia gravis, the Tensilon test is used to assess the immediate response to the medication for diagnostic confirmation.

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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

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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