When the nurse assesses the patient's reflexes, the knee jerks very quickly. The nurse determines that this is a hyperactive reflex without clonus and grades the observation as:
A) 1+
B) 2+
C) 3+
D) 4+
Ans: C
Feedback: Reflex responses are often graded on a scale of 0 to 4+. Grade 0 is absent reflex; 1+ is hypoactive reflex; 2+ is normal reflex; 3+ is hyperactive reflex; and 4+ is hyperactive reflex with sustained clonus.
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