The nurse notes in the patient's medical history that the patient has a positive Romberg test. Which nursing diagnosis is appropriate?
A) Risk for falls related to dizziness or weakness
B) Disturbed tactile sensory perception related to spinal cord damage
C) Ineffective thermoregulation related to decreased vasomotor response
D) Acute pain related to hyperreflexia and spasm
Correct Answer:
Verified
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