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AACN Exam CCRN-Adult Topic 1 Question 1 Discussion

Actual exam question for AACN's CCRN-Adult exam
Question #: 1
Topic #: 1
[All CCRN-Adult Questions]

Assessment of a patient with a head injury reveals increased muscle tone and contractured positioning of the upper extremities. A nurse should

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Suggested Answer: D

In patients with head injuries, increased muscle tone and contractured positioning (such as decorticate or decerebrate posturing) are signs of significant neurological impairment. It is essential to manage these symptoms to prevent further complications. Consulting a physical therapist is the best course of action to ensure appropriate positioning, prevent contractures, and manage spasticity effectively. Reference: = CCRN Exam Handbook and AACN's Certification Review Course materials.


Contribute your Thoughts:

Tamesha
1 days ago
Hey, if the patient's arms are like pretzels, we should just get them a job in a circus. But in all seriousness, D is the way to go.
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Louis
2 days ago
Wrist restraints? Really? That's like trying to put a band-aid on a broken bone. Option D is the only sensible choice here.
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Glendora
3 days ago
C is an interesting option, but I don't think we should just accept contractures as 'expected'. We need to be proactive in addressing them.
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Arminda
4 days ago
I agree, D is the way to go. Muscle relaxers might help in the short term, but a physical therapist can provide long-term solutions.
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Valentin
17 days ago
I don't think contractures are expected after a head injury.
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Minna
19 days ago
Using wrist restraints doesn't sound like the best option.
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Jeff
20 days ago
I agree, they can help with appropriate positioning.
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Nina
28 days ago
Option D seems the most appropriate. Consulting a physical therapist is crucial for proper positioning and preventing contractures.
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Mollie
1 days ago
I agree, a physical therapist can help with positioning to prevent contractures.
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Alana
8 days ago
Option D seems the most appropriate. Consulting a physical therapist is crucial for proper positioning and preventing contractures.
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Zachary
1 months ago
I think we should consult a physical therapist.
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