The Nurse Is Assessing the Neurological Status of a Patient

question 43

Multiple Choice

The nurse is assessing the neurological status of a patient.She uses the handle end of a reflex hammer to stroke the lateral aspect of the sole of the foot.She notes that the great toe dorsiflexes and the other toes spread out like a fan.What does this indicate?

• A)A positive Romberg's test
• B)A negative Babinski's reflex
• C)A hyperactive patellar tendon reflex
• D)A normal reflex in a child younger than age 2

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