The nurse notes in the client's medical history that the client has a positive Romberg test. Which of the following nursing diagnoses is appropriate?
A) Acute pain related to physical injury agent (hyper-reflexia and spasm)
B) Risk for falls as evidenced by impaired mobility
C) Risk for autonomic dysreflexia as evidenced by spasm
D) Ineffective thermoregulation related to inactivity
Correct Answer:
Verified
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