The Nurse Is Assessing the Patellar Reflex on a Client

question 10

Multiple Choice

The nurse is assessing the patellar reflex on a client and obtains no reflexive activity.The client is alert and oriented.The nurse should do which of the following in this situation?

• A)Document the findings as normal.
• B)Notify the healthcare provider immediately.
• C)Look at the medication records for central nervous system depressants.
• D)Retest the reflex after having the client use distraction during the exam.

Use the contribution margin and contribution margin ratio in decision-making.

Understand and apply CVP analysis for business decision-making.

Calculate unit variable cost and fixed cost using given data.

Analyze the impact of activity level changes on costs and profitability.

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Definitions:

Delirium

An acute, often sudden confusion characterized by altered consciousness, cognitive impairment, and a fluctuation in awareness, typically resulting from an underlying medical condition.

Penetrating Head Injuries

Injuries where an object pierces the skull and enters the brain, potentially causing severe damage and requiring immediate medical attention.

Closed Head Injuries

Injuries to the head where the skull remains intact but the brain is damaged, often leading to temporary or permanent neurological issues.

Neurocognitive Disorder

A general term describing a decrease in cognitive function due to a medical disorder other than a psychiatric illness.