Hesi rn health assessment proctored exam
The nurse observes that a client who is intoxicated has an ataxic gait. Which finding does the nurse expect to be positive upon further assessment of the client?
Explanation & Rationale
A. Battle sign refers to bruising behind the ears and is a sign of head trauma, not intoxication. B. Chvostek's sign is related to hypocalcemia, not intoxication. C. Romberg sign assesses for balance issues when standing with eyes closed and is commonly positive in clients with neurological impairment, including intoxication. D. Babinski sign is related to neurological disorders and would not be directly associated with intoxication.
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