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James Paul James Paul
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2 years ago
The nurse is assessing a pregnant client who is at 29 weeks gestation. The nurse notes that the client's blood pressure is 160/90 and documents that the clonus was noted after assessing the patellar reflex. Which assessment findings led the nurse to document this finding?

▸ There was no response when the area directly above the knee was struck with the percussion hammer.

▸ The nurse noted an extension of the leg when the percussion hammer touched the area above the knee.

▸ The client complained of pain when the foot was dorsiflexed.

▸ The client's foot tapped against the nurse's hand when it was dorsiflexed.
Textbook 
Clinical Nursing Skills: A Concept-Based Approach

Clinical Nursing Skills: A Concept-Based Approach


Edition: 3rd
Author:
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miemitchmiemitch
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2 years ago
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