The nurse has assessed a client and notes diminished reflexes. How would the nurse document this finding in the medical record?
1. 4+/0 - 4+.
2. 3+/0 - 4+.
3. 2+/0 - 4+.
4. 1+/0 - 4+.
Correct Answer: 4
Evaluation of reflex responses uses a scale from 0 to 4+. 0 = no response; 1+ = diminished; 2+ = normal; 3+ = brisk, above normal; 4+ = hyperactive.
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