A Nurse Is Starting an Intravenous Line in a Patient

question 13

Multiple Choice

A nurse is starting an intravenous line in a patient being treated for a head injury.Suddenly the patient extends his legs and demonstrates extreme plantar flexion.What action should be taken by the nurse?

• A)Document the presence of decorticate posturing.
• B)Immediately stop the attempt at intravenous insertion and obtain a blood pressure reading.
• C)Assess the position of the patient's arms.
• D)Administer intravenous sedation as quickly as possible after access is obtained.

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Definitions:

Innocent Man

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A 19th-century Danish philosopher who is considered the father of existentialism, emphasizing individual choice and responsibility in the face of an absurd world.

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The act of recognizing and agreeing with certain ideas or concepts through reasoning and understanding.

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