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The Nurse Reviews Charting from the Last Shift on a Client

Question 13

Multiple Choice

The nurse reviews charting from the last shift on a client. The chart states that the adult client's Babinski reflex is positive. What does the nurse understand from this documentation? (Select all that apply.)


A) This is a normal finding in an adult.
B) The client has good balance.
C) The client's neck movement and strength are normal.
D) The client's great toe is dorsiflexed.
E) This could indicate upper motor neuron defect.

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