The nurse is performing the Romberg test and asks the client to stand with the feet together and eyes closed. The nurse notes the findings are normal. Which of the following client responses occurred in this situation? The client:
1. Swayed from side to side.
2. Had minimal swaying.
3. Felt moderately dizzy.
4. Had complete loss of balance.
2
Rationale 1: The Romberg test is used to test coordination and equilibrium. A minimal amount of swaying is normal. Swaying from side to side is not a normal finding.
Rationale 2: The Romberg test is used to test coordination and equilibrium. A minimal amount of swaying is normal.
Rationale 3: The Romberg test is used to test coordination and equilibrium. During the test, the client is asked to stand with feet together and arms at the sides. A minimal amount of swaying is normal. The onset of dizziness is not a normal finding.
Rationale 4: The Romberg test is used to test coordination and equilibrium. A minimal amount of swaying is normal. A complete loss of balance is not a normal finding.
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