What precaution must the nurse take when performing the Romberg test?
1. Have the patient remain seated.
2. Stand close to the patient.
3. Have the patient keep the eyes open.
4. Warn the patient that a sharp object is being used for the test.
2
Rationale 1: The Romberg test is not done with the patient in a seated position.
Rationale 2: The patient may lose balance during this test. Injury is a possibility, so the nurse should stand close to the patient.
Rationale 3: The Romberg test is done with the eyes closed.
Rationale 4: The Romberg test does not require use of a sharp object.
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