The Nurse Notes Fanning of the Toes When the Sole

question 31

Multiple Choice

The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex. Which is appropriate for the nurse to use when documenting this finding in the medical record?

• A) Hyperreflexia.
• B) Babinski response.
• C) Brudzinski sign.
• D) Nuchal rigidity.

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