The nurse is providing care for an 87-year-old woman who is recovering from a cerebral vascular accident. Which of the following precautions should the nurse take after noting the patient has a positive Romberg test?
a. Provide small, frequent meals.
b. Institute fall-risk precautions.
c. Darken the room and reduce stimuli.
d. Request a footboard and splints.
ANS: B
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.
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