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Assessment of a patient with a head injury reveals increased muscle tone and contractured positioning...

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

A.

use wrist restraints to maintain upper extremity extension.

B.

obtain an order for a muscle relaxer.

C.

recognize that contractures are an expected response after a head injury.

D.

consult a physical therapist regarding appropriate positioning.

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