The nurse is caring for a client who was admitted to the medical unit. The healthcare provider states that the client's Romberg test is positive. In order to meet this client's elimination needs, which interventions will the nurse implement?

Question

Quizplus · Accepted Answer

A positive Romberg test indicates that the client has difficulty maintaining balance when their eyes are closed, suggesting issues with proprioception or vestibular function. Therefore, allowing the client to walk independently (A) could be unsafe. Obtaining an order for a catheter (B) might be unnecessary unless there are other indications, as it can increase the risk of urinary tract infections. Limiting fluid intake (C) could lead to dehydration and is not directly related to assisting with balance issues during elimination. Providing a bedside commode (D) is the safest option to meet the client's elimination needs while minimizing the risk of falls.

The Nurse Is Caring for a Client Who Was Admitted