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.

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Definitions:

Expectations

Beliefs or forecasts about future events or behaviors that can influence individuals' perceptions and actions.

Modes of Interacting

The varied ways in which individuals engage, communicate, and connect with each other in society.

Communicates

The act of conveying information or expressing thoughts and feelings through speech, writing, or other mediums.

Ideas

Conceptual thoughts or plans originated in the mind as a result of mental understanding, awareness, or activity.