Summary
Summary ( 15 Questions)
A nurse is performing a neurological examination on a client who has a history of multiple sclerosis.
The nurse notices that the client has difficulty walking and maintaining balance.
Which of the following tests should the nurse use to assess the client’s coordination?
the Romberg test is not enough to assess coordination.
The Romberg test evaluates balance and proprioception by asking the client to stand with feet together and eyes closed. A positive Romberg test indicates a loss of balance.
the heel-to-shin test is not enough to assess coordination.
The heel-to-shin test evaluates cerebellar function by asking the client to slide the heel of one foot down the shin of the opposite leg while lying supine.
A positive heel-to-shin test indicates dysmetria or inability
The nurse should use all of these tests to assess the client’s coordination, as they are part of a neurological exam for people with MS.
The nurse should use all of these tests to assess the client’s coordination, as they are part of a neurological exam for people with MS.