Which nursing diagnosis is expected to be appropriate for a ...

[Caiter2013]

Which nursing diagnosis is expected to be appropriate for a patient who has a positive Romberg test?
 
  a. Acute pain
  b. Risk for falls
  c. Acute confusion
  d. Ineffective thermoregulation

Question 2

During the neurologic assessment, the patient is unable to respond verbally to the nurse but cooperates with the nurse's directions to move his hands and feet. The nurse will suspect
 
  a. cerebellar injury.
  b. a brainstem lesion.
  c. frontal lobe damage.
  d. a temporal lobe lesion.

[tjayeee]

Answer to Question 1

ANS: B
A positive Romberg test indicates that the patient has difficulty maintaining balance with the eyes closed. The Romberg does not test for orientation, thermoregulation, or discomfort.

Answer to Question 2

ANS: C
Expressive speech is controlled by Broca's area in the frontal lobe. The temporal lobe contains Wernicke's area, which is responsible for receptive speech. The cerebellum and brainstem do not affect higher cognitive functions such as speech.

[Caiter2013]

Thanks for the timely response, appreciate it

[sultana.d]

Gracias!