Difficulty: Medium
Average Score: 69%
Simulated
A nurse is providing information to a client immediately before his scheduled Romberg test. Which of the following statements should the nurse make?
Correct answer
D
Rationale
Correct Answer: D - "I will be checking you once with your eyes open and once with them closed."
Rationale: The Romberg test assesses a person's ability to maintain balance with eyes open and closed, evaluating proprioception. This statement informs the client about the procedure accurately.
Summary:
A: Incorrect - Feet should be together, not apart.
B: Incorrect - Hands should be at the sides, not on hips.
C: Incorrect - The nurse should be close to the client for safety.
Rationale: The Romberg test assesses a person's ability to maintain balance with eyes open and closed, evaluating proprioception. This statement informs the client about the procedure accurately.
Summary:
A: Incorrect - Feet should be together, not apart.
B: Incorrect - Hands should be at the sides, not on hips.
C: Incorrect - The nurse should be close to the client for safety.