The Nurse Is Assessing the Neurologic Status of a Patient

question 11

Multiple Choice

The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor.With the reflex hammer,the nurse draws a light stroke up the lateral side of the sole of the foot and inward,across the ball of the foot.In response,the patient's toes fan out,and the big toe shows dorsiflexion.The nurse interprets this result as:

• A) a negative Babinski's sign, which is normal for adults.
• B) a positive Babinski's sign, which is abnormal for adults.
• C) clonus, which is a hyperactive response.
• D) the Achilles reflex, which is an expected response.

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Definitions:

Family Groups

Social units consisting of individuals related by blood, marriage, or adoption, traditionally living together or in close proximity.

North American Indians

Indigenous peoples who lived in what is now Canada, the United States, and parts of Mexico before European colonization.

Catholicism

The branch of Christianity headed by the Pope, with its spiritual and administrative center located in the Vatican City.

Puritanism

A religious reform movement originating in the late 16th century within the Church of England, emphasizing a strict and literal interpretation of the Bible and a pious, disciplined lifestyle.