1.A nurse is performing a Romberg's test during the physical
assessment of aclient. Which of the following techniques should the nurse use?
A.Touch the face with a cotton ball
B.Apply the vibrating tuning fork to the client's forehead
C.Have the client stand with her arms at her side and her
feet together
D.Perform direct percussion over the area of the kidneys
C. Have the client stand with her arms at her side and her feet
together
Romberg's test helps identify alterations in balance. The nurse should have theclient stand with her arms at her sides and her feet
together to observe her for swaying and a loss of balance.
2.A nurse is planning an education session for an older adult client who has justlearned that she has type 2 diabetes mellitus . Which of
the following strategies should the nurse plan to use with this client?
A.Allow extra time for the client to respond to questions B.Expect the client to have difficulty understanding the information C.Avoid references to the client's past experiences D.Keep the learning session in private and one-
on-one
A. Allow extra time for the client to respond to questions
Older adult clients often process information at a slower rate than
younger clients
The nurse SHOULD explore the client's past experiences and