The nurse is assessing the deep tendon reflexes of a client with preeclampsia.
1. The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.
2. The nurse loosely suspends the client’s ARM in an open hand while tapping the back of the client’s elbow.
3. The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.
4. The nurse instructs the client to place her ARMS loosely at her side as the nurse strikes the muscle insert just above the wrist.
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