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When the Nurse Asks a 68-Year-Old Patient to Stand with His

Question 14

Multiple Choice

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. How should the nurse document this finding?


A) Ataxia
B) Lack of coordination
C) Negative Homan sign
D) Positive Romberg sign

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