A nurse documenting the response to the biceps reflex in a patient with a neurological disorder has assessed that the reflex is diminished. The nurse would be correct in documenting this response as which of the following?
A) 0
B) 1+
C) 2+
D) 3+
Ans: B
Feedback: Deep tendon reflexes are graded on a scale of 0 to 4. A diminished response to a deep tendon reflex would be documented as 1+. A grade of 0 would refer to no response. A grade of 2+ would be assessed as normal. A 3+ grade is an increased response but may be interpreted as normal. Refer to Chart 60-2.
You might also like to view...
Hemostasis begins as soon as the injury occurs and a clot begins to form. The substance in the clot that holds the wound together is:
a. fibrin. b. thrombin. c. protime. d. calcium.
Low urine output of 100 to 500 mL/day is called __________
Fill in the blank(s) with correct word
Thin, watery, blood-tinged drainage is:
a. Purulent drainage b. Serosanguineous drainage c. Serous drainage d. Sanguineous drainage
Why is there an increasing use of home monitoring devices? (Select all that apply.)
A) Rising number of people with acute conditions B) Increased need to deliver healthcare to medically underserved populations C) Advances in technology to assess clients' conditions in their home D) Performing assessments in real time using Internet video systems E) Decline in the number of older adults