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:

Conception

The process of fertilization where a sperm and egg combine, leading to the formation of a zygote and the beginning of pregnancy.

Prenatal Development

The development and growth journey inside the womb, starting from conception and culminating in birth.

Adult Personality

The patterns of thought, feeling, and behavior that are characteristic of an individual and that are typically fully developed or matured in adulthood.

Early Childhood

A developmental period ranging from birth to eight years old, focusing on the growth and learning of young children.