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A nurse observes dorsiflexion of the big toe and fanning of other toes when the lateral side of a client's foot is stroked with an applicator stick during a neurological examination. What should the nurse document in the client's medical record?a. 'Has intact plantar reflexes.' b. 'Exhibits a positive Babinski sign.'c. 'Demonstrates normal sensory function.'d. 'Able to perform active range of motion.'

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1. A nurse observes dorsiflexion of the big toe and fanning of other toes when the lateral side of a client's foot is stroked with an applicator stick during a neurological examination. What should the nurse document in the client's medical record?

a. 'Has intact plantar reflexes.'

b. 'Exhibits a positive Babinski sign.'

c. 'Demonstrates normal sensory function.'

d. 'Able to perform active range of motion.'





 
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