Which instruction for the Romberg's test should the nurse provide the client?
A. "Walk on your toes, then on your heels, and then on your toes again."
B. "Touch your finger to your nose, alternating hands."
C. "Walk across the room by placing one foot in front of the other, heel to toes."
D. "Stand with your feet together, arms at sides, and eyes closed."
Answer: D
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The nurse assesses a client who has a hemothorax and a chest tube inserted on the right side. What finding requires immediate attention?
a. Pain at the chest tube insertion site b. Fluctuation in the water seal chamber with breathing c. Puffiness of the skin around the chest tube insertion site and a crackling feeling d. Dullness to percussion on the affected side
A nurse is completing a community assessment and must understand where the main health facilities are located and how many residents in the community are welfare recipients. The best source for this information would be which of the following?
1. Police department 2. City health planning board 3. County health department 4. State census data
A patient complains of having the "worst headache" ever. The nurse realizes that this description is often seen in:
1. Intracranial hemorrhage 2. Ischemic stroke 3. Subarachnoid hemorrhage 4. A brain tumor
Which lists the services needed by the person?
a. Care plan b. Service plan c. Medication record d. Medical record