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 impairment of balance and coordination, which increases the risk of falls, so it is not safe to allow the client to walk independently. Obtaining an order for a catheter is not necessary at this time, as there is no indication of urinary retention. Limiting fluid intake is also unnecessary unless the client has a specific condition that requires it. Therefore, the best intervention to meet the elimination needs of the client with a positive Romberg test is to obtain a bedside commode to ensure safety and comfort during toileting.

The Nurse Is Caring for a Client Who Was Admitted