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    NU335 Med Surgadult Health Proctored Exam

    Use the attached image. During change-of-shift report, the nurse learns that a patient with a head injury has decorticate posturing to noxious stimulation. Which positioning shown in the accompanying figure will the nurse expect to observe?

    Explanation & Rationale

    A. Decorticate posturing involves flexion of the arms, wrists, and fingers with extension of the legs, indicating damage to the corticospinal tract above the brainstem. In the image, positioning 1 shows the patient with arms flexed at the elbows and wrists, hands toward the chest, and legs extended, which is characteristic of decorticate posturing. This occurs in response to noxious stimuli in patients with cortical or corticospinal tract injury. B. This shows the decerebrate posturing involves extension and pronation of the arms and legs, indicating more severe brainstem injury. It usually occurs in people who are unconscious and unable to control their movements. It reflects serious injury to the brainstem or widespread brain dysfunction. C. Decorticate posturing is an abnormal reflex body position that indicates severe brain injury or disruption of brain activity. Key Features include arms flexed tightly toward the chest, wrists and fingers clenched, legs extended straight and rigid as shown in image 1. D. Decorticate posturing involves flexion of the arms, wrists, and fingers with extension of the legs, indicating damage to the corticospinal tract above the brainstem. In the image, positioning 1 shows the patient with arms flexed at the elbows and wrists, hands toward the chest, and legs extended, which is characteristic of decorticate posturing. This occurs in response to noxious stimuli in patients with cortical or corticospinal tract injury.

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