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The Nurse Notes in the Patient's Medical History That the Patient

Question 11

Multiple Choice

The nurse notes in the patient's medical history that the patient has a positive Romberg test. Which nursing diagnosis is appropriate?


A) Acute pain related to hyperreflexia and spasm
B) Risk for falls related to dizziness or weakness
C) Disturbed tactile sensory perception related to spinal cord damage
D) Ineffective thermoregulation related to decreased vasomotor response

Correct Answer:

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