To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
a. Triceps
b. Patellar
c. Biceps
d. Achilles
B
To assess spinal levels L2-L4, the patellar reflex should be tested. The patellar tendon is the only deep tendon that assesses the lumbar spinal level. The triceps and biceps tendon are tested to as-sess the cervical spine, whereas the Achilles tendon is tested to assess the sacral spine.
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A nurse is caring for a child with hemophilia
While reviewing this child's immunization records, the nurse notes that the child needs the tetanus and reduced diphtheria toxoids and acellular pertussis (Tdap) vaccine and the hepatitis A vaccine. The nurse should notify the provider and obtain an order to give: a. both vaccines intramuscularly. b. both vaccines subcutaneously. c. the hepatitis A vaccine only subcutaneously. d. the Tdap vaccine only intramuscularly.