After assessing a client's plantar reflex, the nurse documents ...

[haleyc112]

After assessing a client's plantar reflex, the nurse documents that the finding was normal. Which of the following did the nurse assess in this client?
 
  1. Extension of the toes
  2. Flexion of the toes
  3. No movement of the toes
  4. Spasming of the toes

Question 2

Which of the following techniques should the nurse use to assess a client's pupillary response to light?
 
  1. Briefly shine a penlight into the client's eye by passing the light from the outer edge of the eye toward the center of the eye.
  2. Turn the room lights on and off quickly three times.
  3. Have the client close his eyes and then quickly open them.
  4. Shine the light in the center of the client's eyes for one minute then check them for movement.

[Anton]

Answer to Question 1

2
The normal response is flexion of the toes. Any other response could signify neural impairment.

Answer to Question 2

1
By briefly shining a penlight into the client's eye from the outer edge toward the center of the eye and checking for movement of the pupil, the nurse can tell if there may be brain damage or nerve damage. The other choices are not appropriate technique to assess a client's pupillary response to light.

[haleyc112]

Excellent

[ryhom]

TYSM