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: Smoking is a risk factor for osteoporosis as it can interfere with calcium absorption and decrease bone density.

Choice B rationale: Moderate alcohol consumption isn't a significant risk factor for osteoporosis.

Choice C rationale: Generally, having a larger body stature is not considered a significant risk factor for osteoporosis.

Choice D rationale: While fractures during childhood can affect bone health, they might not necessarily predict osteoporosis risk in adulthood.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

Choice A rationale: A three-point gait is used when one leg is weaker or injured and cannot bear weight. The client should place the crutches about 12 inches in front of the feet and lean forward on the crutches. Then, the client should lift the injured leg and

swing the body forward between the crutches, landing on the uninjured leg. The client should not put any weight on the injured ankle, as ordered by the physician.

Choice B rationale: A four-point gait is used when both legs can bear some weight, but one is weaker than the other.

Choice C rationale: A swing-through gait is used when both legs can bear weight, but need assistance with balance and coordination.

Choice D rationale: A two-point gait is used when both legs have equal strength and can bear full weight.

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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

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Correct Answer is A

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

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