The nurse reads that a patient's reflexes are 3+. How should the nurse interpret this finding?
1. The patient's reflexes are weaker than normal.
2. The patient's reflexes are normal.
3. The patient's reflexes are stronger than normal.
4. The patient's reflexes are hyperactive.
Correct Answer: 3
Reflexes are graded using standard criteria from absence (0) to hyperactive (4). 1+ reflexes are weaker than normal. 2+ reflexes are normal. 3+ reflexes are stronger than normal. 4+ reflexes are hyperactive, with sustained clonus.
You might also like to view...
What can alter an older adult's diurnal patterns? (Select all that apply.)
a. Shift work b. Time zone changes c. Altered nutrition d. Illness e. Medications
For which patient should statin drugs be avoided?
a. Children over age 8 years b. Women who are pregnant c. Men who are over age 65 years d. Women who are over age 65 years
On removing a soft contact lens, the nurse observes that it is sticking together. Which should the nurse implement before storing or reinserting the lens?
1. Soak lens in saline solution. 2. Rub the contact lens briskly. 3. Pry lens apart with fingertip. 4. Use cleaning solution on lens.
The nurse is planning care in a labor and delivery unit. Which of the following families is most likely to request cord blood banking?
A. A family with a history of leukemia B. A family with a history of infertility C. A family who wishes to select the sex of a future child D. A family who wishes to avoid a future intrauterine fetal surgery