When assessing motor function, which of the following are correct?
A) The presence of a Babinski reflex is an abnormal finding in an adult.
B) Lower extremity muscle tone is assessed by asking the patient to push or pull his or her foot against resistance.
C) When using noxious stimuli to elicit a motor response, each limb is tested separately.
D) Abnormal extension, or decerebrate posturing, indicates a less positive outcome than abnormal flexion.
E) Evaluation of deep tendon reflexes is an essential part of the nursing assessment.

Question

Quizplus · Accepted Answer

The presence of a Babinski response in an adult is indicative of neurologic dysfunction, pushing or pulling against resistance tests muscle strength, and deep tendon reflexes are not routinely checked by the critical care nurse during assessment.

When Assessing Motor Function, Which of the Following Are Correct