NUR 2214 A+ SOLUTIONS NUR 2214 MODULE 4 EXAM WITH QUESTIONS AND REVISED AND CORRECT ANSWERS 2024 LATEST VERSION UPDATE. 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 neurologic examination. What should the nurse document in the client's medical record? - Answer-"Exhibits a positive Babinski sign" A client has a tonic-clonic seizure at work and is admitted to the emergency department. Which question is most useful when planning nursing care related to the client's seizure? - Answer-"Were you aware of anything different or unusual just before your seizure began?" On the day after surgery for insertion of a ventriculoperitoneal shunt to treat hydrocephalus, an infant's temperature increases to 103.0 F (39.4 C). The nurse immediately notifies the practitioner. What is the next nursing action? - Answer-Removing excess clothing from the infant A client experiences a cerebral vascular accident (CVA) and is admitted to the hospital in a coma. What is the priority nursing care for this client? - Answer-Maintain an open airway. A 50-year-old male client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also