In deep coma, deep tendon reflexes are
a. diminished or absent. c. hyperactive.
b. normal. d. delayed, but full strength.
A
Deep tendon reflexes are lost in deep coma, narcosis, or deep sedation. Diminished deep tendon reflexes usually result from interference in the reflex arc, and an absence can indicate a break in the reflex arc. In deep coma, deep tendon reflexes are not normal, hyperactive, or delayed but full strength.
You might also like to view...
The nurse is assessing a client with a surgical wound. Which observation indicates that care has been effective for this client?
A) The client's temperature is 100 °F. B) The client performs wound care independently. C) There is only a scant amount of purulent drainage on the dressing. D) A small area of erythema and edema is present.
A parent comments that her adolescent daughter seems to be daydreaming a lot. What does the nurse understand this behavior to indicate regarding their daughter?
a. She is bored. b. She is not getting enough rest. c. She is trying to block out stress and anxiety. d. She is mentally preparing for real situations.
A male patient presents to the clinic complaining of a headache. The nurse notes that the patient is guarding his neck and tells the nurse that he has stiffness in the neck area. The nurse suspects the patient may have meningitis
What is another well-recognized sign of this infection? A) Negative Brudzinski's sign B) Positive Kernig's sign C) Hyperpatellar reflex D) Sluggish pupil reaction
An intervention found helpful to assist children who have severe difficulties in relating and communicating is:
A) Delaying feedback. B) Postponing gratification. C) Floor time. D) Removing stimulation.