The nurse is caring for a client who was admitted to the medical unit.The healthcare provider states that the client's Romberg test was positive.As the nurse plans to meet the client's elimination needs,the nurse would implement which of the following interventions?

Question

Quizplus · Accepted Answer

A positive Romberg test indicates an impaired sense of balance, which increases the risk of falls. Therefore, the nurse should implement safety measures such as providing a bedside commode to minimize the risk of falls during elimination. Allowing the client to walk independently or limiting fluid intake may not be appropriate interventions and obtaining an order for a catheter may not be necessary unless medically indicated.

The Nurse Is Caring for a Client Who Was Admitted