The Nurse Is Testing the Deep Tendon Reflexes of a 30-Year-Old

question 51

Multiple Choice

The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination.When striking the Achilles heel and quadriceps muscle,the nurse is unable to elicit a reflex.The nurse's next response should be to:

• A)Ask the patient to lock her fingers and pull.
• B)Complete the examination, and then test these reflexes again.
• C)Refer the patient to a specialist for further testing.
• D)Document these reflexes as 0 on a scale of 0 to 4+.

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Definitions:

Living Will

A legal document that outlines a person's wishes regarding the medical treatment they wish to receive or not receive if they become unable to communicate those decisions due to illness or incapacity.

Permanent Incapacitation

The irreversible condition of being unable to perform tasks or activities due to severe injury, illness, or disability.

Children's Understanding

The process through which young individuals grasp, comprehend, and make sense of concepts, experiences, and the world around them.

Death

The cessation of all biological functions that sustain a living organism, marking the permanent end of life processes.