1.A nurse is performing a Romberg's test during the physical assessment of a

client. 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 the

client 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 just

learned 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 use them to

establish connections to new knowledge

It is helpful when working with older adult clients to invite another household

member to the teaching session so that person can help reinforce new

information later. The nurse, however, should honor the client's preference.

3.A nurse manager is preparing to review medication documentation with a group

of newly licensed nurses. Which of the following statement should the nurse

manager plan to include in the teaching?

A. "Use the complete name of the medication magnesium sulfate."

B. "Delete the space between the numerical dose and the unit of measure."