The nurse is performing the Romberg test on a client during a neurological assessment. Which of the following best describes the rationale for conducting the Romberg test?
To measure respiratory rate and depth.
To evaluate coordination and fine motor skills.
To test for proprioception and vestibular function.
To assess cranial nerve function related to facial expression.
The Correct Answer is C
Choice A reason:
The Romberg test is not used to measure respiratory rate and depth. Respiratory assessments involve observing breathing patterns, rate, and depth, which are unrelated to the Romberg test.
Choice B reason:
While the Romberg test can provide some information about coordination, its primary purpose is not to evaluate fine motor skills. Fine motor skills are typically assessed through tasks that involve precise hand and finger movements.
Choice C reason:
The Romberg test is used to test for proprioception and vestibular function. It assesses the client’s ability to maintain balance with their eyes closed, which helps identify issues with proprioception (the sense of body position) and vestibular function (the inner ear’s role in balance).
Choice D reason:
The Romberg test does not assess cranial nerve function related to facial expression. Cranial nerve assessments involve specific tests for each nerve, such as asking the client to smile or raise their eyebrows to evaluate facial nerve function.
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View Related questions
Correct Answer is A
Explanation
Choice A reason:
The epidemiologic triangle is a model used to explain the factors that contribute to the spread of infectious diseases. It consists of three components: the agent (the cause of the disease), the host (the organism harboring the disease), and the environment (the external factors that allow the disease to spread). This model helps nurses understand how diseases are transmitted and identify strategies for prevention and control.
Choice B reason:
Levels of prevention refer to the different stages of disease prevention: primary, secondary, and tertiary. While important for understanding how to prevent and manage diseases, this approach does not specifically explain the factors that allow the reproduction and spread of infectious diseases.
Choice C reason:
The natural history of disease describes the progression of a disease from its onset to its resolution, including the stages of preclinical, clinical, and recovery or death. While this concept is important for understanding disease progression, it does not focus on the factors that contribute to the spread of infectious diseases.
Choice D reason:
Health promotion involves activities and interventions designed to improve health and prevent disease. While health promotion is crucial for overall public health, it does not specifically address the factors that allow the reproduction and spread of infectious diseases.
Correct Answer is A
Explanation
Choice A reason:
Hypertension is a common manifestation of increased intracranial pressure (ICP). As ICP rises, the body attempts to maintain cerebral perfusion by increasing blood pressure. This compensatory mechanism helps ensure that the brain continues to receive adequate blood flow despite the elevated pressure.
Choice B reason:
Tinnitus, or ringing in the ears, is not a typical manifestation of increased ICP. While it can be a symptom of various conditions, it is not specifically associated with elevated intracranial pressure.
Choice C reason:
Hypotension, or low blood pressure, is not a manifestation of increased ICP. In fact, the body typically responds to increased ICP with hypertension to maintain cerebral perfusion. Hypotension would be concerning for other reasons but is not indicative of elevated intracranial pressure.
Choice D reason:
Tachycardia, or an increased heart rate, is not a primary manifestation of increased ICP. While changes in heart rate can occur with severe neurological conditions, hypertension is a more direct indicator of elevated intracranial pressure.