As Part of a Neurological Examination, the Nurse Is Testing

question 37

Multiple Choice

As part of a neurological examination, the nurse is testing the DTRs of a 30-year-old woman.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:

Psychosis

A mental health disorder characterized by a disconnection from reality, which may include hallucinations and delusions.

Bipolar I

A subtype of Bipolar Disorder marked by full manic episodes often interspersed with periods of depression.

Intense Anxiety

A heightened state of worry, fear, or dread, often with physical symptoms such as rapid heartbeat, sweating, or trembling, that disrupts normal functioning.

Depressive Disorders

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