The nurse assessed a client's deep tendon reflexes as being ...

[washai]

The nurse assessed a client's deep tendon reflexes as being normal. Which of the following will the nurse document in the client's medical record?
 
  1. 4+
  2. 3+
  3. 2+
  4. 1+

Question 2

A client has been diagnosed as being legally blind. The nurse realizes this client's vision is:
 
  1. 20/200 or less in the better eye with correction.
  2. 20/200 or less in the worse eye without correction.
  3. 20/100 or less in the better eye without correction.
  4. 20/100 or less in the worse eye with correction.

[strudel15]

Answer to Question 1

3
A deep tendon reflex of normal would be documented 2+. A deep tendon reflex that is very brisk would be documented as 4+. A deep tendon reflex being more brisk than normal would be documented as 3+. A deep tendon reflex that is sluggish would be documented as 1+.

Answer to Question 2

1
Legal blindness is defined as vision of 20/200 or less on a Snellen chart in the better eye with correction. The eye needs to have correction in order to be diagnosed as legally blind; therefore, the choice of 20/200 in the worse eye without correction would be incorrect. The vision measurements of the other choices can be corrected with lenses and would not be categorized as legal blindness.

[washai]

TYSM

[cam1229]

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