The nurse is providing care for an 87-year-old woman who is recovering from a cerebral vascular accident. Which precaution should the nurse take after noting the patient has a positive Romberg test?
a. Institute fall-risk precautions.
b. Provide small, frequent meals.
c. Request a footboard and splints.
d. Darken the room and reduce stimuli.
ANS: A
A positive Romberg test in an older adult is expected as a result of normal aging changes in the cerebellum. Be sure to protect the patient with a positive result from falls. A gait belt may be helpful when assisting the patient with ambulation. B. C. D. The patient does not need a change in meal frequency, a footboard, splints, or a darkened room to reduce stimuli.
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