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Multiple Choice
The nurse is performing the Romberg test. Which of the following indicates a normal finding?
A
The patient experiences dizziness and needs to sit down immediately.
B
The patient falls to one side when eyes are closed.
C
The patient sways slightly but maintains balance with eyes closed.
D
The patient requires assistance to stand upright with eyes open.
Verified step by step guidance
1
Understand the purpose of the Romberg test: It is used to assess the integrity of the dorsal columns of the spinal cord, which are responsible for proprioception, or the sense of body position in space.
Recognize the procedure of the Romberg test: The patient stands with feet together and eyes open initially, then closes their eyes. The examiner observes the patient's ability to maintain balance.
Identify what constitutes a normal finding: A slight swaying is normal as the patient relies on proprioceptive input without visual cues, but they should be able to maintain balance without assistance.
Evaluate the options given: Dizziness and needing to sit down, falling to one side, or requiring assistance with eyes open indicate abnormal findings, suggesting issues with proprioception or vestibular function.
Conclude with the correct interpretation: The patient swaying slightly but maintaining balance with eyes closed is a normal finding, indicating intact proprioceptive pathways.