The nurse should use which location for eliciting deep tendon reflexes?
Clavicle.
Scapula.
Patella.
Sternum.
The Correct Answer is C
Choice A rationale
The clavicle is a superficial bone forming part of the shoulder girdle and does not serve as a primary site for eliciting deep tendon reflexes. Deep tendon reflexes involve muscle stretch and nerve innervation.
Choice B rationale
The scapula is a large, triangular bone located on the posterior aspect of the rib cage and is not an anatomical landmark used for assessing deep tendon reflexes. Reflexes are elicited from tendons connected to muscles.
Choice C rationale
The patella, or kneecap, is the anatomical landmark where the patellar tendon connects to the quadriceps muscle. Tapping this tendon elicits the patellar reflex, a commonly assessed deep tendon reflex indicating spinal nerve integrity.
Choice D rationale
The sternum, or breastbone, is a flat bone located in the center of the chest and is not associated with the elicitation of deep tendon reflexes. Deep tendon reflexes are assessed at specific musculotendinous junctions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Facilitation is a verbal technique that encourages the patient to say more by using non-verbal cues, such as nodding, or minimal verbal cues like "Mm-hmm" or "Go on.”. While it promotes communication, the statement "Tell me more about that" is a direct prompt for detailed information, not a subtle encouragement.
Choice B rationale
A direct ask is a specific question that elicits a concise, often one-word or brief, answer, such as "Are you in pain?" or "When did the shortness of breath start?" The nurse's statement, however, invites elaboration and detailed description, going beyond a simple direct response.
Choice C rationale
An open-ended ask is a type of question that encourages a comprehensive and descriptive response from the patient, rather than a simple yes or no answer. By asking "Tell me more about that," the nurse invites the patient to elaborate on their experience of shortness of breath, providing a richer understanding of the symptom.
Choice D rationale
Reflection involves repeating a patient's words or phrases to encourage further expression of their feelings or thoughts. While the nurse acknowledges the patient's mention of "shortness of breath," the statement "Tell me more about that" is an invitation for elaboration, not a direct reflection of the patient's exact words to encourage emotional exploration.
Correct Answer is ["0.45"]
Explanation
Step 1 is to determine the volume to administer. 4500 units ÷ (10,000 units/1 mL) = 0.45 mL. The nurse will administer 0.45 mL.
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