The nurse completed assessments on several patients. Which assessment finding will the nurse record as normal?
a. Pulse strength 3
b. 1+ pitting edema
c. Constricting pupils when directly illuminated
d. Hyperactive bowel sounds in all four quadrants
ANS: C
A normal finding is pupils constricting when directly illuminated with a penlight. A pulse strength of 3 indicates a full or increased pulse; 2 is normal. 1+ pitting edema is abnormal; there should be no edema for a normal finding. Hyperactive bowel sounds are abnormal and indicate increased GI motility; normal bowel sounds are active.
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